In 1890 the city paid for the support of prisoners and paupers in city institutions the sum of $1,949,100, and for paupers in private institutions the sum of $1,845,872. In 1898 these figures had increased to $2,334,456 for prisoners and public paupers, and $3,131,580 for paupers in private institutions. Private charity, so called, has prospered at the expense of the city until in some cases it has become a matter of business for profit rather than relief of the needy. The returns made by institutions receiving appropriations in bulk from the city treasury show that many of them are using the public funds for purposes not authorized by the Constitution. The Constitution authorizes payments to be made for "care, support, and maintenance." The reports of a large number of institutions show the money annually obtained from the city carried forward wholly or in part as a surplus. Different uses are made of this surplus, none of them, however, authorized by law or warranted by a proper regard for the interests of the taxpayers. In some cases this surplus is used to pay off mortgage indebtedness, in others for permanent additions to buildings, or for increase of investments and endowment. In one case the manager of an institution frankly explained a remarkable falling off in disbursements (so great that its charitable activities were almost suspended) by stating that it was proposed, by exercising great economy for a number of years, to let the city's annual appropriations accumulate into a respectable building fund. The flagrant nature of this abuse is so apparent that comment is unnecessary.
Appropriations for dependent children have reached enormous proportions. Out of a total of $3,249,623.81 appropriated for private charities in 1899, no less than $2,216,773, or sixty-nine per cent, is for the care and support of children. In no city in the United States will the number of children supported at the public expense compare, in proportion to the population, with the number so cared for in the city of New York. This may be partly accounted for by the extremes of poverty to be met with in the metropolis, especially among the foreign-born population, where the struggle for existence is so severe as to weaken the family ties; partly by the rivalry and competition which have existed between the several institutions devoted to this kind of work; partly by reason of the fact that the rate paid by the city for the care of these children is such as to enable the larger institutions, in all probability, to make a small profit; but, to a considerable extent, also from an insufficient inspection by public officers for the purpose of ascertaining whether children are the proper subjects of commitment and detention. In the city of New York 50,638 children in private institutions are cared for at the public expense. This is one to every sixty-eight of the estimated population of the city.
So much for the abuse and extent of public charity. Now for the reforming of the system that was fast approaching the condition of a grave scandal. The last Legislature passed a bill placing in the hands of the local Board of Estimate absolute power over all appropriations for charitable purposes, and for the first time in many years reform is possible. The discretion conferred by this act upon the Board of Estimate and Apportionment carries with it a large responsibility. If hereafter the city, in its relation to private charitable institutions, should either, on the one hand, be wasteful of public funds, or, on the other hand, should fail to perform the duties owed by the community to the dependent classes, the blame can not be shifted to the Legislature, but will rest squarely upon the shoulders of the local authorities.
In treating a condition which has been allowed to exist for many years almost without challenge from the local authorities, and which has grown upon the passive or indifferent attitude of the public, sweeping and immediate reforms can be instituted only at the cost of serious temporary injury to certain charitable work of a necessary character. I believe that the best results will be obtained if the city authorities first decide clearly the relations to be established between the city treasury and private charitable institutions, and then move toward that end by gradually conforming the appropriations in the budget to that idea, in such a manner that progress shall be made as rapidly as may be consistent with the desire to avoid crippling excellent charities which have been led to depend for many years upon public assistance. By this, of course, I do not mean to suggest that we should approach the subject with excessive timidity, for the evils that exist have assumed such proportions that a more or less severe use of the pruning knife must be made in dealing with appropriations, else the effect will be scarcely perceptible. I am convinced that ultimately the cause of charity will benefit rather than suffer from this course, for it is a serious objection to the whole subsidy system that it tends to dry up the sources of private benevolence.
In making up the budget for 1900 I shall urge my associates in the Board of Estimate to agree with me to limit the appropriations for charity to actual relief work accomplished. The giving of public money in lump sums to private societies and institutions for miscellaneous charitable work, of which there is no public or official inspection, should be discontinued at once. It has been the practice for some years past, both in Brooklyn and New York, to donate annually lump sums of money to such organizations. In New York these amounts have been for the most part comparatively small, and principally derived from the Theatrical and Concert-License Fund. In Brooklyn the amounts have been larger, and were obtained originally from the Excise Fund, and later directly from the budget. This practice should be wholly discontinued. The charter itself contains stringent prohibitions against the distribution of outdoor relief by the Department of Public Charities, and the spirit of these provisions would certainly seem to disfavor accomplishing the same result in an indirect manner. Many of these recipients of public funds devote themselves exclusively to outdoor relief, and an examination of the purposes of some of these organizations shows that, however proper these may be as the result of private benevolence, they are extremely improper objects of the public bounty. The immediate and permanent discontinuance of appropriations to all such societies and institutions will correct one of the gravest abuses of the present system. If the persons conducting these miscellaneous charities are really sincere, and believe that they are doing good, they can readily obtain from private sources the funds necessary to carry on the work.
I shall urge that all appropriations to institutions of every kind not controlled by the city be limited to per-capita payment for the support of public charges, and that a system of thorough inspection be at once established to ascertain if present and future inmates are really persons entitled to maintenance at public expense. In addition to this precaution, the comptroller should have full power to withhold payments to any institution after an appropriation has been made if in his judgment, after examination, the money has not been earned. The payment of city money to dispensaries should be discontinued, except in special cases where the work done is clearly a proper charge against the public treasury. No money should be paid for the treatment of dependent persons in any private hospital while there is unoccupied room in the city hospitals.
The city maintains its own hospitals, while at the same time subsidizing private institutions which compete with them. During the last few years great improvements have been made in the city hospitals, but their condition is still capable of considerable further improvement. While sometimes overcrowded, it frequently happens that the city hospitals are not filled to the limits of their capacity, and it would seem as though the city should not deal with private hospitals except as subsidiary aids or adjuncts to the public institutions. It stands to reason that so long as there are vacant beds in the city hospitals and the city is at the same time subsidizing private hospitals at a cost greater than the expense of caring for patients in its own institutions, a wrong is being done to the taxpayers. If private hospitals are to receive public assistance at all, payments should be made only at some uniform rate, approximately the same as the cost per capita of maintenance in the public institutions.
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