
Problems Confronting Older People
Commissioner of Health, Dr. Leona Baumgartner, Dr. Howard Rusk, Dr. Henry Colby of the Department of Hospitals, and Dr. Leonard Covello discuss the problems confronting older people at a celebration at the East Harlem Day Center for Older Persons. Commissioner Henry L. McCarthy acts as host.
Commissioner Henry McCarthy welcomes everyone to the open house at the East Harlem Day Center for Older Persons. He describes the opportunities for activities for older people. He talks about counseling services that are available to older people. He talks about the success of the day centers in New York City and how they are a boon to the hospitals and welfare department. He introduces Dr. Henry Colby.
Colby talks about being present at the opening of the Kips Bay counseling service in the past, which would seem to be a success given the opening of this one in East Harlem. He talks about the cooperation between the health and welfare departments and the hospitals. He notes the statistic that 15-20% of cases at the hospital should be taken care of in other facilities.
He talks about a recent survey that found a great deal of health problem have to do with geriatric issues.
Colby talks about another service for old people - home service. There are 2,000 cases through NYC hospitals. He similarly discusses nursing homes.
He touches on rehabilitation, alluding to Howard Rusk's precedence in the field. Rehabilitation is a relatively new idea in the field. They are try to open up several rehabilitation centers, at least one in each borough or more. He goes through each borough.
He talks about the importance of having a single agency that is knowledgeable and can refer patients to the correct facilities.
McCarthy introduces Dr. Leonard Covello, chairman of the board of the new facility and principal of old Benjamin Franklin High School, which houses the new facility. He speaks highly of the new Benjamin Franklin High School. It is Report Card Day at the school, where parents may consult with their children's teachers. He was late because of this. He credits the community with allowing the High School to move. He speaks highly of cooperation between the community and government authorities.
McCarthy closes the ceremonies describing the tour that attendees might enjoy. He notes the center's dental clinic, run the Department of Welfare. There is a "homemaker's service" for families for mothers are sick and a domestic service training facility.
[There is a short gap in the audio]
Commissioner McCarthy introduces Dr. Leona Baumgartner, Commissioner of Health.
She talks about not having been able to visit the center she is speaking. She talks about the "home atmosphere." She feels the center is significant in its treatment in transitioning from communicable to hereditary diseases. She talks about the changes in health with ages.
She recalls Cornell beginning to study senior citizens. She tells the story of a particular older person. She was very popular and active, but she stopped going out when she started to lose her hearing and had trouble walking. They discovered this and treated her and she started going out again. She praises counseling services for senors in New York.
McCarthy notes the interaction between health and welfare and its importance. He talks about the increasing population of old people, due to medical science and trade unions. He stressing keeping people in their own homes as long as possibility. He talks about hospitals as the last resort. There is a new service, coined by the next speaker - "homestead." They want to make senescent homes more "homey." He introduces Howard Rusk.
Rusk is delighted to be at the event at The East Harlem Day Center. He talks about visiting another nursing home with similar programs for old people. He likens social tools to health needs to giving insulin to diabetics. He talks about geriatric studies he is taking part in. He compares the home to the Hudson Center. He talks about senile psychosis and the lack of problems with it due to treatment. He feels that there is something from being happy and having a purpose that prevents arteriosclerosis. He talks about the many organizations and universities that are studying the problems facing older people. He talks about the demographic changes expected in coming years, with a marked rise in older population.
He talks about going to an old folks home in the Hague. where each person had their own room and furnishings with common areas.
He feels that these programs are weaving social tools and humanities into health care and this is of great significance. He talks about the center's self-governance.
McCarthy addresses the radio audience, telling them where the event is taking place.
Audio courtesy of the NYC Municipal Archives WNYC Collection
WNYC archives id: 150677
Municipal archives id: LT2944
This is a machine-generated transcript. Text is unformatted and may contain errors.
Ladies and gentlemen as commissioner of welfare it is my happy privilege to welcome you to the Safa known for this open house these hollowing day Saturday for the ages this is one of fourteen day centers operated under the sponsorship of the Department of Welfare and in cooperation with local voluntary agencies and in these data centers we welcome the older people of our community to come and to take part in all of the many activities which you see around you today up stairs you will find the rooms in which these activities take place and before the afternoon is over we hope that you all will have a chance to see what the older people are doing and how they keep active and how happy the opportunity is for them here now we have a number of distinguished guests here this afternoon to athirst us in this celebration but before introducing them I should like to call your attention to some of the help we have had from many different segments of the community. In the room just outside this auditorium you'll see a series of five private offices and these are. The counseling service that is associated with this day Saturday and this counseling service is an extension of an experiment which has been carried on for more than a year at the health center and gets day and where we now have on duty social workers psychologists nursing service and psychiatrists and medical examiners and where the older people as they come in from the community may have the advantages of the teamwork approach in discovering what their problems may be and suggesting to them solutions for those problems now much of the solution rests in having a place for all the people can come every day from nine to five day as long as they please pick out the kind of activities that they're most interested in and enjoy themselves to the limit and you'll see as you've already seen the work of the artist or which played so beautifully here this afternoon you'll see the glee club and you'll see the handicraft work with the painting and sculpture and following and all of the other activities now we think that this is a pattern for the future we think that the fourteen day centers now operated cooperatively between the private agencies and the City Department of Welfare are just the beginning and that the time will come when the whole city will recognise the advantage to all of us of having these wonderful centers where the increasing number of older people may come and find health and happiness the hospitals Department has a real stake in the welfare of our senior citizens. Their job is to provide hospital care for all members of the community who may need it and for the older members as well and to get all of these folks out of the hospital as quickly as possible once they get in there but we conceive the job of the welfare of the day centers for the aged to be that up keeping people out of the hospitals as long as possible and we think we're doing a pretty good job of that because that fifth to Calais we can show you that in all of the wealth fair sentence welfare department centers operated for the benefit of the ageing that the history of clinically for old the history of hospitalization both for mental illness and for physical illnesses that in each of these places the people who have come to the centers have had to be referred to the hospitals in much lesser numbers than previously and much less a number than the general population which doesn't have these centers available to them so we think there is a close connection between the interests of the hospital the fire and then the interests of the day setters and the interests of the Department of Health and Welfare and we had hoped to have commissioner McLean with us this afternoon unfortunately he was detained elsewhere but he has sent us one of his top staff members a man who has worked very closely with us at home we've all come to respect very highly and my pleasure to introduce Dr Henry called me from the department hospital. Listening to copy they wish cats and letting them down I had the pleasure of being present half a dedication how they kept a counselling service. And therefore if you have particular pleasure to me at this time to come about one year later and see the dedication and faith of Fifa paid in the dedication of a term of service down here and that creating that great service live perfect I think that commission McCarthy has put it just right when he says that hospitals have a tremendous state and what we do. Population welfare health and hospitals work together cooperate and try to integrate services take care of a problem which is becoming increasingly more important. To pick through early concern where they impact how the aging population in our general care hospital just recently we had a study made for our own information to determine how many cases in our general care hospital should be there and how many should be sent to other facilities we discovered that between fifteen and twenty percent. Of all ah cases in general care hospital to not be there because they could be taking care of another facility let's connect another draw for Lent the thing that in they leaf and Thursday night under the offices of the ruffled Faith Foundation. Over texting to think of all the charges from General Patton hospital found in the age group over sixty five years of age. I need not go into figures and fifth that this is not fuel the L.A. group I know you La Familia for the rising or increasing geriatric problem that we have to face not only in New York that he but out where throughout the country. You may be interested in knowing what types of cases we have to meet and creeps in our hospitals are the texting percents discharges which I referred to previous graves about by teens for me about the guys about I think the current voluntary out there is correct and the general of the vein category it's about cancer sense. It's about ten percent fall into the New York factor group it's now the point is this with the large number of cases in our general care heartful What is the the parting of hearts of during the major problem there are several steps that we have taken that I think will be of interest to you it's. The first of all we have set up special Hartford on. The take care of chronic disease cases and to study all cases. You all now are very bright as our hearts so for the past twenty two thousand. And the GO water Memorial Hospital for about three hundred bed fleas may be liable that chronic disease and circulation although there are custodial cases are and family type of cases also accept that at the brightest color. And addition we operate the farm counties and that an island with a partner eleven hundred papers I'd like to bring to your attention the fact that the brighter color had a gulp and that's probably as a nineteen thirty it was probably one of the price articles of its nature. Erected in the United States. It indicated that even if Bob backers twenty years ago they the popular part of them the medical up out of the thirty four aware of the fact that the treatment of the aged would be a very and more and more important problem to us of the years came along and up clots we know that that is though. That. There is another therapist which takes care of the aging population that was not fed up primarily bloody hated by the very hyped up planted of the case of on the third of are in the age group of about fifteen and fifty five years of age and out of the home care that. The rest of the new thought of. Flip to have not lived with not a fabulous nearly through empty vessel and our hospital but to give a private service which was the feria to the third with previously rendered the seven categories of patient care. After lift their eight rehab approximately two thousand cases on Home Care The figure does not vary very much a lot of dental care hospitals have home care programs and some of our specialty you have told have homes for over the figure varies between nineteen hundred twenty one twenty two hundred. Just think for a moment that a lot of what you mean throughout that we have to keep the faith in and the house. Not only would they not forgetting the service they require an investment of that we would have to have two thousand more upset than we have at the present for another outlet forest another fact of service of the referral of our case of the knife in her. A cleft it is impossible to go into much detail. With regard to all the program you threw out there that I have a microphone will but I will tell you that that approximately twelve hundred a year. I transferred from a hospital tonight from home I'm going to the office usually weather cooperates them and that being and these cases of profit arrive at the problem of welfare. And I like to come through a very important subject which I will face about very naturally because we have an outstanding representative reading here will probably be much more with Definitely and with much greater knowledge of my claims and that of the field of rehabilitation. Really putting faith in from hospitals whether they are General Hospital threshold that you have. On let them home or not out solution. We have to think and plan to rehabilitate our promise of the faith and an upright I need now particularly of rehabilitation of the aged. The plan that we have in the department of our. There through a fabric of many rehabilitation center as I replied. I will give you very thoughtfully of the relatively have a present time but before doing though I would also like to bring your attention that this is of the government only the past ten years. Ten to fifteen years ago rehabilitation was just the word and we just gave up for a bit now we are really trying to do something about it. We have found a fed up to a regional plan to rehabilitate them in the setting so that any Pharo there will be at least one rehabilitation from the presently lied to take care of the new you have a faith and not enough of a hospital as well as though that may vary from voluntary agency the present time fact and trial by borrow in Manhattan we had a hospital. In the Bronx we had route of intervention devalue heart full of crap we have rehabilitation facilities at the grow what a memorial and try to call hospitals on welfare Allen. And the Bronx we will have a new facility are you happy ever handed called the hospital which will be open within the next month and every movement the Brooklyn Bridge have a center at the county hospital and there will be another front there in one nine hundred fifty three and the new Connie Allentown show. In the borough of Queens we have cleaned General Hospital with have not for the pillow days are required but it has made a start and we intend to expand the facilities at Green and general and in addition and then no longer General Hospital which is about one thousand that out of them through a lot so have all the facilities for rehabilitation from them I give you these for you. Without too much comment on them we've got the problem the one that is developing I have not the perfect forgive you accept our new it that we will have approximately one thousand dead nearly to rehabilitate and the problem of hospitals. By nine hundred fifty plate. And I think that there's a tremendous program and we are looking very closely at the picture so that I'll leave rather than leave for additional to the facility. Rehabilitate and become evident in ground through the phablet both of those. Are now deflected very worried about partly out of the service that we are dedicating that we are getting progressively through at the present time. The fact that the therapy the growth in a community are not sufficient that are necessary to have one group or one hundred ninety three that you know about the fertility and more and flatten them out and take the food then evaluate them analyze then leave and then reprised them for the proper facilities. After all what I have told you before the Firth of the faith and who have kept alive. The service that is being inaugurated today the country partly in operation have the ambulance ride been talking about you know what is wrong and doesn't have no right to go I need a doctor tell me that a fair number for me the feeling of. How it will be for the deficit get paid at seventy five and I will function rather the price you know of it so that the best. Thank you God told me. And we welcome that partnership to between the city departments and a local boards of citizens and we have a distinguished board of citizens who are responsible for the operation of this center and as the head of that distinguished board of citizens we have a very distinguished public servant and it's my pleasure now to call upon him for a few words and I introduce to you Dr Leonard called valid chairman of the board and principal of the new Benjamin Franklin High School. I am glad to. Commissioner McCarthy for having. Stated that we are now in the old. Benjamin Franklin High School and May I at this time invite you to the new Benjamin Franklin High School on the East River Drive. It's a through experience for us to be here this afternoon and I think you'll get an equal thrill if you come and see our new Benjamin Franklin High School on the set of a drug we started off with the idea of a new school a new community. Twenty one years ago. May I apologize for being late. The reason for it was that today is report card day. At Benjamin Franklin High School report card day functions in this manner. Once that. The parents. Come to the high school for their boys report card we don't send the report card home that parent comes they gathered about one thirty this afternoon. We had a very fine program in the auditorium of the school. At three o'clock we dismissed the school to all the boys go home the teachers were in their rooms they know the boys program the rules were to go and by four o'clock five minutes after four we hope and every parent every teacher had a chance to consult about the future and the and the progress of their children. And that's why I was late. But when we. Threw community cooperation. For reestablish the school in twenty one years ago when your fragile high school we were here for eight years community cooperation made possible our new building on the east of a drop as I sat here. And. Saw this group as I've been coming here and it was here Friday again. To me these two buildings the welfare department I don't hundred eight street and the Center for our older citizens our older friends our older people. These two buildings could not have been used to a better purpose in my opinion. On Friday afternoon the board of directors men met and we received the two year report. Of what has been accomplished in this center. And it was spread on the minutes with a recommendation made by the members there present. That we had witnessed in the space of two years. A wonderful development and I'm using the word advisedly. I what a cooperative job can be done when citizens in cooperation with the State Department can achieve in that short period it was a wonderful report and I think that the both the commissioner and Mr Levine who directs in charge of all of these standards and our own director here Ben Nelson for what I consider and the board of. The Board of Trustees of the board that helps in developing these programs in the space of two years I hope that many of you who have been with us this afternoon will continue your interest. In our older people. Thank you very much. Thank you thank you Dr Cavallo we are about to close this afternoon ceremonies and then we will invite you to go through the building on the floor immediately above this you will find our day center for the aged with all the rooms and evidences of all the activities that the older people enjoy but I also invite you to visit the rest of the building because we have another number of interesting projects going on here we have in this building one of the best dental clinics in the United States operated by the Department of Welfare for the two hundred seventy five thousand men women and children that we have receiving assistance in the city at the present time they need it they all need to work just as all the rest of us and this is not only dental clinic but this is the newest and the best of our dental clinics and you're invited to take a look at that and then we also have in this building our headquarters for our home maker service where we have ninety trained homemakers who go out into the homes of families where the mother has had to be taken to the hospital and where we think that it's a very desirable thing for us to keep the children together in their own homes rather than take them out to an institution even for a temporary period and that homemaker services located here and then in this building we also have our domestic service training program another example of cooperation between city departments because that program takes women who have been on public assistance some of the middle aged and older women and puts them through a ninety day program of domestic service training which involves all the domestic talents including cooking and sewing and cleaning and laundry and so forth and childcare and we are able to. Find jobs for these folks in industry and hotels and restaurants and in private homes when they have completed the service thus taking them off of public assistance making them self supporting and of course making them and the people I go to work for much happier too how this project is carried on cooperatively between the Board of Education and ourselves we furnish the space and the equipment and the trainees from our relief are all and the Board of Education furnishes the excellent teachers in domestic science I have been very happy that so many of you came here this afternoon to see for yourselves. Everything that we have and I'm just reminded that in the course of your peregrinations through the building you should stop and have refreshments at the appropriate place Thank you. Other will begin our comments on today's activities and on the work of the matter I'm going to call on one of the most distinguished of our city commissioners who has taken time out of her busy day as we all have had to and we all have busy days Votto that as a commissioner myself and we welcome commissioner Baumgartner of the FAR from of Health who has had a lot to do with the development of these centers and more particularly with the development of the counseling service which we think is also an integral part of the day center of the future and would be very happy now to hear from Dr Leona Baumgardner commissioner of health. Are. Commissioner McCarthy a distinguished gas Fran's and I guess I say senior citizens do I. Have dined with us today it's a great pleasure to come here I must confess that I've been trying to come here for about three years and this is the first day I made it believe it or not when I first heard about the way this matter was operating I wanted a cot and found a while because a everybody asked me about it and you know I can make up stories about so long and that I'm afraid somebody will really find out that I am going. Someplace anything that felt I was particularly delighted to see the kind of of home atmosphere there was in a public building like this because I that kind of thing that public service sometimes live from the whole point of view and I think the assassination and this kind of a fanfare and this kind of a coat sell a therapist is a very much smaller Theognis the time and effort is old and you may realize you see if you go back here grandchildren day and to even your own childhood you may remember that the things we worried about in the health field that fifty really in the public. All fields are work and burn with everybody hell for the things that were to come Unocal both of these ARE THEY were the germ did leave the medieval in the mom from the chicken pox and the typhoid fever and tuberculosis and a variety of other diseases like bad stuff to look at several of these diseases to be sure still with us we fail all have common cold too many of them every winter we have to work in low throws the very very major problem what we ought to be able to do found thing more about you have Poliomyelitis But these aren't the important things when we look to the future fam Fortan thing is that as a result of this ability to prevent many of these diseases as a result of our increased standard of living our better medical knowledge all of us just naturally live longer don't we and as we live longer we don't have known enough in the past about what kind of problems are created by our knitting longer and other words we have known a great deal more about ourselves in the teens in the twenty's in the thirty's in the forty's and fifty's though when we get to the think feet seventy's eighty's and ninety's in the hundreds we have known as much because there haven't been as many people around to find out about what kind of problems life holds for people in need age group also in a big city like this where we know how doing family break out then lots of things like that interfere with our lives we realize that there are different problems for this reason they Cornell Medical Center and the Department of Health about four years ago was it decided that it would study the problems of senior citizens and there were some fascinating stories that got there ahead when you began looking at what they called a cross section and there were thirty that each of the people that were over six feet five that may. That a given area in New York City and they found out stopped those problems were and then looked around the community and began to see what it was as a community had to offer that could solve those problems Interestingly enough some of them were not health problems some of them were not social problems some of them were not some of them were not financial problems but certain but many of them were many people who could get help financially didn't know how to get it many people weren't making use of the facilities and the air of things they could do in a community to help overcome their loneliness many people just needed a little help in how to get along in the family and with the personal problems they had and some people had real health problems that they didn't know about that they hadn't recognized I was very interested in the story of a particularly term and senior citizen that I saw one day when I was in the counseling service and heard about her from her family as well for many years she's been very active in her church even very active in the community her family had loved her and she gone visiting everybody in the neighborhood she was just one of those people that everybody knew and loved and all of a sudden she began to sort of leap in turn up the church she wouldn't come around to visit for the family very much she got all kind of dried up inside what do you think we found out in the health counseling service we found out first of all via the counseling service that that's what happened to our then we decided we begin to find out why did this happen to us well it was a long story but it was kind of a simple one she couldn't hear as well as she used to but nobody figured it out so when she went to places she felt sort of inverse that she could be funny looks on people's faces sometimes when she made the wrong answer the right question also she hadn't told anybody but she really it really hurt her to walk quite a lot she is one of those stalwart people that hadn't complained very much. So by the time they got her legs all fixed up a little bit and got her into a hearing aid she began to make contact with the world in the day she's out north and with her family then you see there are lots of these very simple things that perhaps we can do something about when we try to figure out how together we as senior citizens will help you to other and how we will learn to use the services that are available in our communities I've often thought you know Commissioner occur to you that. Mothers who bring babies to their babies to well baby FENECH take it for granted that somebody they're going to talk to them is going to give them advise maybe one of these days we will realize that the same kind of advice and counseling Navy is helpful and healthy to fell the problems at the other end of the line as they are in solving the problems of childhood and infancy I think maybe this is the reason why who is a fur thing that always that it is a fairly and children and perfectly fascinated with this here at this kind of a service and with older people are helped to help themselves that's really been I think today its own part and I have a kind of hunch that someday when somebody writes the history of New York ten or fifteen or twenty five years from now they may talk about fees counseling services as the beginning of a wonderful new service for senior citizens in New York. Thank you for making the Baumgardner. I think it should be pointed out that this particular day center is unique in that it is the earth that are in the city perhaps in the country that has associated with it an integral part of the operation the conflict service with has been referred to by the previous speakers. I get solved noteworthy that all of the speakers that emphasise the partnership we have a very evident to all of the partnership which exists between the five in the hospitals and health and welfare and this is I should be and is an expression of the work being carried on by the Interdepartmental Health Council which is made up of the commissioners of hospital health and welfare. And I would say to you that there is no subject which commands the interest of the commissioners and the fasts of all three of those the firemen more than all of the problem the rounding the prophets of aviate are very conscious of the fact you are born in on a constantly that we might view this as one of the major problems confronting the thirty. We have more than a million persons now over fifty years of age and the number is increasing rapidly medical science has defended the fan of life I'm afraid Union five kept people from wearing out the early by talking hours and making better working conditions between the two out of medical science and the trade union people just are going to live longer and so all the problems connective of living longer are in front of it now with daddy all of the profit of a property of aging and our main concern is to keep all older people in the community as long as possible just for it I may get them from the children to keep them in their own home long as possible are good plot their own and caring this analogy further with the fact the aged if we can keep them in their own homes in the community as long as possible we move on into boarding home which are still in the community into a nursing home where they get medical care into public common firm reason homes operated by voluntary agencies and only finally when there is need for. Service because of acute illness or terminal illness or rehabilitation only then do we resort to the hospital this is the major master plan for the thirty which is the concern of all the thirty departments that are involved and we have some great plans of fraud involved in those great plan that is the creation of something new which goes by a new name one that has not been heard of before but will be heard of much in the future that new name was coined by our next. Baker who is the principal feature this afternoon and we find the term home fair because if the public agencies have to go into this business of providing public homes for older people he wants those public homes to be as homey as possible and to be removed as far as possible from the institutional concepts that we have known in the past and to make them into something that is attractive he wants our older people to be fighting to get into the homestead rather than dreading to be sent there and so this word homestead which is a new word in the lexicon of social work and health and welfare is I think going to become a very famous word and with that I will introduce the kind of the word of a man whose stature in the field of rehabilitation is such that his very name has become the symbol of rehabilitation for people of all ages and he is particularly interested right this minute in the problems of the aging and it is my pleasure to resent to you Dr Howard Rusk of the Institute of the physical medicine. Of the McCarthy. Of the commissioners and Randall I'm delighted to be here at this celebration of the day that recall to me one of the a lot Rowling visits I had in my early days as a New Yorker and lay mid forty's when I went to the opening of a project in the center and was thrilled to see what had been done there with seven hundred oldsters I've never I've never forgotten the statistics in our faces that I saw there. I remember so well that there were seven hundred and the average age was seventy six that they'd had five years experience than that admission in that group compared to a group who had not the privilege of. They found or had decreased fifty percent and they visited the clinics had decreased fifty percent and that there had been eleven weddings and the place open and that they had a dance every other week and that they put on a play every other month and all of those were filling to think about but as I remember the faces that's the thing that. Is indelible and just see now the programming founded to fourteen with these new services which are like new techniques that we get in medicine and I think I would like to feel that this counseling service now a part of the way they sound or service is. Like adding insulin to a diabetic clinic we're adding social tools to meet. Health needs and weaving them into a total program in a way that I believe will pay the greatest of vivid than in the future my own particular interest in the program has been in rehabilitation and I'm very proud that here in New York at Bellevue Hospital we started the first rehabilitation wards in any general hospital in the world back in nineteen forty seven now we are just developing under the leadership of Dr Michael Dyke Show at Goldwater to special wards for. Geriatric rehabilitation we don't think the problems are going to be too different but a rehabilitation dosage is going to have to be modified and we're going to have to work out say basic techniques that can get the older people out of bad and into action more quickly and then out of the hospital and like community with more facility in this particular center here I was interested in after making inquiry to find that. Already in the two years of life with three hundred. I don't know what you call them clients or gas they're certainly not patients but two hundred members of this club that your statistics were not dissimilar from those of the Hudson center in the early days because when I visited there I asked the question how many of your clients have in this five years out of the seven hundred how many have gone to mental hospitals for senile psychosis and they searched the records carefully and told me that they could find no record I know that that is a statistical anomaly I wanted to see the comparisons so I went to the American Psychiatric and I asked how many you would expect in a population of this age group and social and economic strata and I found that if you could have expected forty and then I calculated if the forty had gone in a year for five years it would have cost the taxpayer ten thousand dollars more than it did to run the entire center for the seven hundred I'M GOING INTO they carry and here I find that in the two years with three hundred patients clients gas. That there have only been two known instances of the necessity for patients to go to mental hospitals for senile psychosis which is twenty percent of the expected in the general population in this age group so I believe it is this group alone in your two year experience you. Have paid for and will have some money left over for the participation of. A Health and Welfare Department simply by the saving of these eight patients from mental hospitals on a full time basis so I think that what you are doing here and pioneering and is as Dr Baumgartner has said hey preventive medicine of the future I will now make a very unscientific statement but I believe it very deeply and that is that there is something in being happy and having a purpose in life. That causes the symptoms of arteriosclerosis either to regress are to remain stationary I'm not sure of it as I am that I'm standing here anyone who's ever done kind of cold medicine. Remembers so well when the whole band happiness and purpose was taken away the degenerative phenomenon that followed so I am sure here that you are pioneering in a program that one day we will probably be able to prove. Chemically there's something in the whole complex glandular situation. That by this environmental opportunity which you provide. That something happens that is as sure as shot has a vaccine for smallpox and as we hope and pray and believe the new polio vaccine will be. I think this is a wonderful example of teamwork not only in a departmental teamwork between a three city departments but teamwork between a great foundation which had the vision to make the funds available for this study the New York foundation a great medical school Cornell and then all of the facilities of city government with all of the departments going hand in hand to make a frontal attack on the problem the problems of our senior citizen problems that have now reached the proportion of thirteen million in our country overall beyond the age of sixty five and if you want a figure for your insomniac nights about the future problem let me give you the now obsolete veterans figure obsolete because it was given by General Bradley in one nine hundred forty seven and it was predicated had to be predicated on the assumption that there would be no medical advance after nine hundred forty seven if we practice medicine as we did then and that was before cortisone I remind you and many other things that have happened sense. By two thousand the figures were these that at the end of World War two there were three million four hundred thousand veterans from World War one still alive and their average age was fifty three. In two thousand A.D. provided there is no medical advance there will be three million seven hundred thousand veterans from World War two still alive and their average age will be seventy eight. We and medicine and health of created this problem I think it is up to us to find a solution there are many approaches the approach from the physiological and the biochemical there is much that we can learn from the experience of our friends beyond the seas I was interested to go in. An old folks apartment settlement in The Hague this October where each person had their own little apartment they brought their own furniture. They had their own little place to cook or a central dining room or infirmary if they were ill and I would take the interested in the gardens because each person had a garden which was one yard by one yard in size. But it was their garden one rugged individualists had three stalks of corn growing. Others had rose bushes others preferred sunflowers but whatever they wanted it was their garden and I was interested in going out to look over the door and find and to find that the building was built in sixteen man. Denmark and Sweden have had magnificent experience and. Housing for the aging population but I think that here. That the program that we are operating in this city and in this building especially the combined buying program of center and counseling. Offers the most dramatic opportunity of any preventive program in the field because what we are doing and I think sometimes without realising its significance we are weaving the social tools and the humanities into the total armamentarium of health care as the biological sciences and the chemical sciences are woven into basic therapy at the turn of the century so what you're doing here I think is going to have great significance throughout the nation and throughout the world not only helping us to provide the health care that our senior citizens deserve but also in the search and solving what heretofore without study and without knowledge would be in the soluble economic problems but more than that. To demonstrate that in a democracy we feel that it is our privilege to provide the necessities for every man to live and to work within they limits of his disability but up to the hilt as far as as his ability and desire is concerned. This I believe that we are doing that's why I believe this day has much greater significance than this neighborhood or the city because here is a center with people of twenty three nations. Living in a self government. Finding the answers to the problems that heretofore have not been solved I am sure I speak for you. When we wish them well and tell them of the great pride in. Our hearts that we have that the people in our city responsible for health and its total concept. I have the vision to set up programs like this thank you very much thanks. As always we are inspired by Dr rusts words for the benefit of our radio audience I think I should state that this ceremony inauguration of this day center for the aged. Is being held in the in its location which is the old Benjamin Franklin High School which has been turned over to the Department of while fair and which is located at three twelve East one hundred ninth Street and we invite all persons in the neighborhood of one hundred ninth straight ahead can reach that location easily to come and see for yourselves what kind of an operation this day center is and we particularly invite older people who might like to participate to come here and to take part in our activities and we have thirteen other day centers and those who might be interested in them and get all the information they need by telephoning the department of while for central office which is located at two fifty Church Street and the telephone number there is date before eight seven hundred we don't have any New Jersey number to call. Each of our fourteen day centers is operated cooperatively between a private neighborhood group and the Department of while fair each one has its own board of civic minded citizens who have given of their time and effort and energy to make these centers a success.