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Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Provision  for  War  Cripples  in  Germany 


I.  INTRODUCTION 

-  There  are  two  outstanding  features  about  the 
German  system  of  care  for  war  cripples.  In  the 
first  place,  it  is  not  a  system  in  the  sense  in  which 
Italy,  Canada,  France,  and  England  have  sys- 
tems. In  all  these  countries,  the  work  is  more 
or  less  unified  under  one  authority;  they  make, 
in  varying  degrees,  an  attempt  at  even  distribu- 
tion of  schools  and  hospitals.  In  Germany,  there 
is  no  real  central  authority,  the  schools  are  of 
varying  types  and  most  unevenly  distributed. 
'The  second  feature  is  the  volunteer  character 
of  the  work.  The  matter  of  re-education  is 
wholly  in  private  hands  and  is  not  even  super- 
vised by  the  Imperial  Government.  In  this 
respect,  the  German  Government  takes  less  part 
in  the  work  than  the  government  of  any  other 
nation.  These  two  features,  lack  of  system  and 
lack  of  government  control,  have  been  the  subject 
of  wholesale  condemnation  from  writers  of  other 
nations.  As  far  as  can  be  seen,  however,  the 
volume  of  work  done  and  the  efficiency  of  indi- 
vidual institutions  rank  extremely  high. 

As  a  matter  of  fact,  the  lack  of  centralization 
in  the  German  system  need  not  indicate  essential 
insufficiency.  There  are  two  obvious  causes  for 
it.  In  the  first  place,  Germany  was  the  country 
which,  of  all  others,  had,  when  the  war  broke 
out,  the  most  foundation  for  caring  for  cripples. 
Some  of  the  other  countries  which  had  no  such 
arrangements,  had  to  create  their  systems  from 
the  bottom  up,  notably  Italy  and  Canada,  which 
are  now  the  most  uniform.  It  is  the  work  which 
has  grown  by  experiment  from  stage  to  stage 
which  usually  shows  the  least  consistent  plan 
on  paper,  and  the  German  re-education  system 
appears  to  fall  under  this  head, 
^.'-'^hen  the  war  broke  out,  Germany  had,  under 
different  auspices,  all  the  elements  with  which 
to  begin  immediate  work.    There  were  fifty-eight 


cripple  homes  under  private  auspices ;  there  were 
sanitaria  and  re-education  workshops  for  indus- 
trial cripples  under  the  employers'  accident 
insurance  companies;  there  were  orthopedic 
hospitals  under  the  municipalities,  and  there 
were  trade  schools  and  employment  bureaus 
under  various  government  auspices.  It  was  diffi- 
cult to  knock  these  elements  together  under  one 
management  and  yet  each  was  efficient  of  its 
kind  and  ready  to  be  turned  over  at  full  working 
strength  to  the  purpose  of  war.  Under  such  cir- 
cumstances, the  natural  development  was  that 
each  should  remain  more  or  less  autonomous, 
simply  co-operating  with  the  others  on  whatever 
system  appeared  practical  in  each  locality. 

Further  than  this,  the  work  is  thoroughly 
planned.  It  is  not  what  is  done  for  the  cripples 
which  is  unsystematized,  but  the  way  in  which 
it  is  done.  Germany  has  a  complete  definite 
scheme  as  to  what  constitutes  the  reconstruction 
of  war  cripples.  It  is  accepted  by  all  the  insti- 
tutions working  to  this  end,  it  is  put  in  practice, 
and  the  statement  is  that  in  ninety  per  cent,  of 
the  cases  the  desired  results  are  obtained.  The 
scheme,  as  expressed  by  Dr.  Biesalski,  Germany's 
leading  orthopedic  surgeon,  is  as  follows: 

1.  No  charity,  but  work  for  the  war  cripple. 

2.  Cripples  must  be  returned  to  their  homes  and 

their  old  conditions;  as  far  as  possible,  to  their 
old  work. 

3.  Cripples  must  be  distributed  among  the  mass  of 

the  people  as  though  nothing  had  happened. 

4.  There  is  no  such  thing  as  being  crippled,  while 

there   exists   the   iron   will   to   overcome   the 
handicap. 

5.  There  must  be  the  fullest  publicity  on  this  sub- 

ject, first  of  all  among  the  cripples  themselves.'' 

These  words  express  not  only  an  ideal,  but  an 
outline  of  the  work  as  actually  put  through. 

^  Zeitschrift  fiir  KruppelfUrsorge,  Leipzig,  1915,  viii,  15. 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  i 


There  appears  to  be  no  discussion  in  Germany 
as  to  the  results  obtainable.  The  principle  that 
no  one  need  be  a  cripple  unless  he  himself  wishes 
it,  and  that  'the  wounded  man  must  sink  back 
into  the  mass  of  the  people  as  though  nothing 
had  happened',  is  accepted  as  a  creed.  As  far 
as  this  goes,  there  is  entire  uniformity  and  sys- 
tem, with  less  discussion  of  possibilities  and 
results  than  is  to  be  found  in  any  other  nation. 
The  volunteer  character  of  the  work  is  also 
explainable  on  historical  grounds.  Volunteer 
work  in  Germany  does  not  mean  unskilled  work. 
Germany  was  used  to  relying  on  private  organ- 
izations for  efficient  work  in  the  field  of  social 
welfare  and  to  granting  them  a  semi-official 
status.  Her  whole  system  of  social  insurance, 
for  instance,  was  managed  in  this  way.  More- 
over, her  volunteer  social  workers  were  often 
men  who  held  government  positions  and  who  did 
this  work  in  their  unofficial  capacity  or  who  were 
closely  allied  with  the  governing  class.  To  speak 
of  volunteer  work  in  Germany  does  not,  there- 
fore, mean  irresponsible  or  untrained  work,  but 
work  in  the  spirit  and  of  the  quality  of  govern- 
ment work  done  under  different  auspices.  To 
illustrate  the  German  attitude,  there  may  be 
quoted  the  speech  of  the  president  of  the  Imperial 
Committee  for  the  Care  of  War  Cripples,  made 
at  a  conference  called  by  the  committee  at 
Cologne,  August  22  to  25,  1916: 

To  me  the  most  inspiring  thing  about  this  organiza- 
tion of  ours  for  the  care  of  war  cripples,  which  embraces 
all  Germany,  has  always  been  its  voluntary  character. 
We  needed  no  laws  and  no  decrees,  no  impulse  from  our 
rulers.  Spontaneously,  in  one  day,  the  great  edifice 
sprang  from  the  earth  created  by  the  mighty  force  of 
brotherly,  cherishing  love.* 

The  enthusiasm  of  this  speech  is  typical,  but 
the  man  who  makes  it  cannot  be  counted  merely 
an  inspired  private  citizen;  he  is  the  Captain 
General  of  the  Prussian  Province  of  Brandenburg 
and,  though  speaking  in  a  private  capacity,  must 
be  presumed  to  work  in  full  accord  with  the 
government  and  in  the  government  spirit. 

It  is  gathered  that  the  work  for  cripples,  being 
managed  usually  by  people  of  this  stamp,  is 

2  Verhandlungsbericht  uber  die  Tagung  fur  Kriegsbeschadig- 
ten-fiirsorge  in  Koln.  Berlin,  191 7,  p.  27.  (Reichsausschuss 
der  Kriegsbeschadigtenfiirsorge.    Sonderschriften,  Heft  i.) 


largely  a  matter  of  class.  There  have  been  re- 
quests in  the  Reichstag,  mostly  from  the  socialist 
side,  that  the  government  take  over  the  whole 
work.  The  government's  obvious  reason  for  not 
doing  so  is,  of  course,  a  matter  of  money  coupled 
with  the  fact  that  to  leave  such  a  matter  to 
private  initiative  is  not  such  a  shiftless  act  in 
Germany  as  it  would  be  in  a  country  with  a  less 
developed  system  of  private  charity.  A  list  of 
contributions  made  by  some  of  the  principal 
German  cities  to  June,  1916,  may  show  the  extent 
to  which  thework  is  dependent  on  private  charity: 


Marks  per  1,000 

City 

Marks 

inhabitants 

Cologne 

707,000 

1,367 

Beriin 

570,000 

275 

Dusseldorf 

430,000 

1,170 

Wiesbaden 

142,000 

1,299 

Leipzig 

140,000 

237 

Potsdam 

66,000 

1,064 

ACTUAL  PROGRAM  OF  WORK 

There  have  been  various  estimates  made  of  the 
number  of  German  cripples.  The  latest  available 
is  that  up  to  August,  1916,  published  by  the 
Kolnische  Volkszeitung,  which  gives '  the  arm 
amputation  cases  as  6,000  and  leg  amputations 
as  10,000. 

For  these  men  there  are  four  necessary  stages 
of  treatment:  (i)  medical  treatment,  (2)  provi- 
sion of  artificial  limbs  and  functional  re-educa- 
tion, (3)  vocational  re-education  and  vocational 
advice,  (4)  placement.  These  activities  are  cut 
sharply  in  half,  the  first  two  being  the  function 
of  the  Imperial  Government  and  the  last  two  of 
private  and  state  agencies. 

The  general  course  of  a  wounded  German  sol- 
dier from  the  battlefield  to  civil  life  is  as  follows : 
He  receives  his  first  treatment  at  the  field  dress- 
ing station  and  goes  from  there  by  ambulance  to 
the  field  hospital,  where  surgical  treatment  takes 
place.  He  is  then  removed  by  train  to  the  rear, 
possibly  to  a  hospital  along  the  lines  of  communi- 
cation, possibly  to  a  reserve  hospital  in  the  in- 
terior or  even  to  the  orthopedic  hospital,  where 
he  is  to  have  final  intensive  treatment.  This  is 
decided  by  military  convenience  and  by  his  need 
for  more  or  jess  immediate  treatment. 

•  Zeiischrift  fUr  Kriippelfiirsorge,  Leipzig,  1916,  ix,  382. 


Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


He  is  kept  at  the  reserve  or  the  orthopedic 
hospital  under  military  discipline  until  his  physi- 
cal condition  is  brought  back  to  normal,  during 
which  time  there  are  various  arrangements  for 
his  re-education.  These  will  be  taken  up  later. 
On  discharge  from  the  hospital,  he  goes  back  to 
his  reserve  battalion,  the  unit  at  the  rear  which 
supplies  new  reserves  for  the  corresponding  bat- 
talion at  the  front,  to  await  his  pension  and  dis- 
missal. As  a  rule,  there  is  an  effort  to  send  men 
for  treatment  to  the  home  town  where  their  re- 
serve battalion  is  quartered,  so  that  this  will  not 
mean  another  change  of  place.  While  he  is  with 
the  reserve  battalion,  his  pension  is  decided  on 
by  the  local  military  board  and  he  is  finally  dis- 
missed as  dienstunfdhig,  or  unfit  for  service. 

Most  of  the  civilian  activities,  both  in  re-edu- 
cation and  in  placement,  take  place  while  the 
man  is  under  the  authority  of  hospital  or  reserve 
battalion.  This  makes  necessary  the  closest 
co-operation  between  military  and  civilian 
authorities.  The  effect  is  that  of  two  interlock- 
ing systems  functioning  side  by  side,  occasionally 
overlapping,  occasionally  failing  to  make  perfect 
connections,  but,  as  a  rule  because  they  are  not 
really  different  in  spirit,  managing  very  effect- 
ively. 

II.  ORGANIZATION 

The  organization  of  the  volunteer  work  for  the 
care  of  war  cripples  began  a  few  days  after  the 
declaration  of  war,  through  the  activity  of  the 
Deutsche  Vereinigung  fiir  Krilppelfursorge  (Ger- 
man Federation  for  the  Care  of  Cripples).  This 
society,  as  has  been  mentioned,  is  an  institution 
of  long  standing,  having  as  members  fifty-eight 
cripple  homes,  some  of  them  founded  almost  a 
century  ago.  The  chief  mover  in  the  organiza- 
tion was  Dr.  Konrad  Biesalski,  director  of  the 
Oscar-Helene  Heim  fiir  Heilung  und  Erziehung 
Gehrechlicher  Kinder  (Oscar  Helen  Home  for 
Treatment  and  Education  of  Crippled  Children) 
in  Berlin-Zehlendorf.  Immediately  after  the 
outbreak  of  the  war,  the  Kaiserin,  at  Dr.  Beisal- 
ski's  suggestion,  sent  a  telegram  to  the  Vereini- 
gung fiir  Krtippelfilrsorge,  asking  that  the  Ger- 
man cripple  homes  throw  open  their  doors  to 
war  cripples.  To  this,  all  the  homes  immediately 
consented.      Further   than    this.    Dr.    Biesalski 


undertook  a  tour  of  Germany  under  the  auspices 
of  the  Red  Cross,  in  which  he  visited  all  the  prin- 
cipal cities,  urging  the  formation  of  voluntary 
committees  for  the  care  of  war  cripples.  The 
gospel  he  preached  was  one  which  had  been  the 
creed  of  leading  German  orthopedists  for  many 
years,  namely,  that  almost  any  cripple  could  be 
made  fit  to  work  again  and  that  education  for 
work  should  be  the  regular  treatment.  The  im- 
mediate result  was  the  .formation  of  volunteer 
committees  in  many  cities  and  of  larger  ones  in 
some  states  and  provinces  and  the  starting  of 
work  in  all  parts  of  the  empire  under  various 
auspices  and  with  various  plans.  By  February, 
1915,  this  local  organization  had  proceeded  so  far 
that  the  Vereinigung  fiir  Krilppelfursorge,  under 
the  auspices  of  the  Kaiserin,  called  a  special  meet- 
ing in  Berlin  to  compare  notes  and  lay  down  the 
guiding  principles. 

At  this  meeting,  there  were  present  officials  of 
the  various  states  and  provinces,  representatives 
of  the  medical  profession,  the  teachers,  the  em- 
ployers, the  workmen,  the  military  authorities 
and,  of  the  large  social  welfare  organizations, 
the  Red  Cross,  the  sick  benefit  societies,  the 
state  accident  insurance  associations,  etc.  The 
general  principle  was  laid  down  as  above,  that 
the  Imperial  Government,  through  the  War 
Department,  should  be  responsible  for  the 
wounded  soldier  in  so  far  as  he  required  physical 
care,  but  that  all  responsibility  for  re-education 
and  return  to  industrial  life  should  belong  to 
private  charity  or  to  the  different  states  of  the 
empire,  if  they  cared  to  take  it  up.  Dr.  Schwien- 
ing,  staff  surgeon  of  the  Gardekorps,  in  laying 
down  the  position  of  the  military  authorities, 
said:  "The  aim  of  the  military  authorities  is  to 
restore  to  the  wounded  man,  as  fully  as  possible, 
the  use  of  his  injured  or  weakened  limbs.  .  . 
Our  purpose  is  not  only  that  men  should  have 
the  requisite  practice  in  the  use  of  their  prostheses 
and  should  then  be  discharged.  The  military 
authorities  are  prepared  to  keep  them  even  longer 
under  care  and  give  them  opportunities  in  spe- 
cial hospitals  for  further  practice  and  in  prepara- 
tion for  a  trade.  .  .  Naturally,  for  various 
reasons,  it  is  not  possible  to  keep  all  wounded 
and  crippled  men  in  hospitals  until  they  have 
fully  learned  a  new  trade  or  are  able  to  resume 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  i 


their  old  one.  But  to  give  them  the  preliminary 
practice  for  this,  and  thus  to  smoothe  the  transi- 
tion into  civil  life,  to  this  the  military  authorities 
consider  themselves  indubitably  bound."  ' 

This  left  the  division  of  labor  clear.  Dr. 
Schwiening's  allusions  to  'opportunities  for  fur- 
ther practice'  turned  out  to  mean  nothing  more 
than  cordial  intentions  and  a  little  manual  train- 
ing in  the  way  of  functional  re-education.  The 
private  agencies  represented  at  the  meeting, 
therefore,  prepared  to  leave  to  the  War  Depart- 
ment all  questions  of  physical  care  and  to  con- 
centrate on  vocational  advice,  re-education,  and 
placement.  The  question  of  financial  responsi- 
bility was  touched  on,  but  not  settled.  There 
was  no  authority  from  the  Imperial  Government 
for  assuming  that  any  expenses  would  be  de- 
frayed, except  those  for  physical  care.  The 
private  societies  and  the  individual  states  were 
left  to  finance  their  part  of  the  work  with  any 
support  they  could  get.  There  was  obvious, 
even  at  this  early  meeting,  the  split  of  opinion 
as  to  this  division  of  responsibility.  Several 
speakers  stated  definitely  that  the  Imperial  Gov- 
ernment ought  to  control  and  plan  the  work  or, 
at  least,  to  finance  it.  No  government  repre- 
sentative, however,  had  been  authorized  to  make 
any  promises  on  this  subject  and  the  aloof  atti- 
tude then  assumed  has  continued,  under  growing 
criticism.  The  general  understanding,  however, 
was  a  thoroughly  cordial  one.  The  military 
authorities  expressed  themselves  as  deeply 
grateful  for  the  volunteer  work  and  in  full  co- 
operation with  it.  They  promised  to  consult 
with  the  private  agencies  as  to  the  assignment  of 
men  to  different  hospitals  and  not  to  remove  or 
discharge  men  suddenly  without  regard  to  the 
interests  of  their  training.  They  also  promised 
that  private  agencies  should  have  facilities  for 
visiting  the  hospitals  for  teaching  and  vocational 
advice  and  that  army  doctors  should  be  in- 
structed to  cooperate  with  them  in  every  way. 

As  a  matter  of  fact,  the  actual  working  out  of 
this  cooperation  depends  on  the  Bezirkscom- 
mando  (the  local  military  authority)  in  any  given 
place.  For  military  purposes,  Germany  is 
divided  into  thirty-two  districts,  all  the  hospitals 
in  any  district  being  under  the  authority  of  the 

'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1915,  viii,  146. 


commander  of  the  local  army  corps.  It  is  in 
this  man's  power  to  facilitate  private  work  or 
to  make  it  difficult,  and,  since  most  of  the 
younger  and  more  progressive  men  are  at  the 
front,  the  army  commander  is  sometimes  a  man 
with  little  appreciation  of  the  cripples'  wider 
needs. 

There  has,  at  times,  been  friction  between  in- 
dividual military  commanders  and  the  volunteer 
agencies  in  their  districts.  The  War  Department 
is  fully  awake  to  the  harmful  effects  of  this  state 
of  affairs  and,  on  December  27,  1916,  issued  the 
following  decree  ^  looking  to  more  complete  co- 
operation : 

The  problems  of  vocational  advice,  re-education  and 
placement  can  be  solved  by  the  military  authorities 
only  by  constant  and  systematic  cooperation  with  the 
civilian  agencies  for  the  care  of  war  cripples.  It  should, 
therefore,  not  be  left  to  the  discretion  of  the  local  mili- 
tary hospital  authorities,  whether  vocational  advisers 
should  be  permitted  in  the  hospitals  or  not;  there 
should  be  a  regular  understanding  on  this  point  with 
the  central  care  committee.  .  .  The  military  author- 
ity must  accord  every  possible  support  to  the  upbuild- 
ing and  the  intensive  growth  of  the  civilian  cripple 
work  because,  after  demobilization,  the  further  social 
care  of  our  war  cripples  will  fall  entirely  on  these  civilian 
agencies.  In  preparation  for  that  time,  these  agencies 
must  be  placed  in  a  position  to  discharge  their  heavy 
task  with  the  greatest  possible  success. 

The  organization  of  the  volunteer  work,  as 
reported  at  the  Berlin  meeting,  varied  greatly 
with  the  different  parts  of  the  empire.  Germany 
is  divided  into  twenty-six  states,  the  largest  of 
which,  Prussia,  has  twelve  provinces,  each  larger 
than  many  of  the  other  states.  Roughly,  it  may 
be  said  that  the  eastern  part  of  the  empire  is  the 
more  sparsely  settled  agricultural  section  and  the 
western  the  populous  industrial  section.  The 
degree  of  development  of  schools,  hospitals  and 
institutions  for  social  welfare  differs  according 
to  the  character  of  the  individual  states  and 
according  to  their  location. 

Though  the  Imperial  Government  had  taken 
no  part  whatever  in  the  organization  of  re-edu- 
cation work,  the  governments  of  the  various  Ger- 
man states  and  of  the  Prussian  provinces  had 

'  Leilsalze  uber  Berufsberatung  und  Berufsausbildung. 
Berlin,  1917,  p.  20.  (Reichsausschuss  der  Kriegsbeschadigten- 
(ilrsorge.    Sonderschriften,  Heft  2.) 


Number  ij 


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sometimes  assumed  responsibility.     The  work 
thus  organized  falls  under  three  classifications: 

1.  Work  financed  and  directed  entirely  by  the 
state  government. 

Bavaria  stands  alone  under  this  head.  The 
whole  work  is  financed  and  managed  by  the 
state  under  the  Ministry  of  the  Interior,  assisted 
by  an  advisory  committee  of  representative  citi- 
zens. The  various  government  officers  through- 
out the  state  are  the  officers  of  the  cripple  welfare 
work  and  each  one  has  an  advisory  committee 
of  local  people  to  help  with  the  actual  case  work. 

2.  Work  initiated  and  directed  by  the  govern- 
ment but  with  private  cooperation  and  support. 

Under  this  head  fall  all  but  one  of  the  Prussian 
provinces,  including  more  than  half  of  Germany. 
The  head  of  a  Prussian  province  is  called  the 
Landeshauptmann.  In  almost  every  case,  the 
Landeshauptmann  formed  a  special  care  commit- 
tee with  himself  at  the  head,  and  the  local  com- 
mittees all  over  the  province  were  subordinated 
to  this  central  authority.  The  plan  was  to  use,  to 
the  full,  all  existing  provincial  institutions,  such 
as  schools,  almshouses,  and  hospitals.  The  funds 
were  furnished  by  the  province,  but  with  the 
understanding  that  the  State  of  Prussia  and, 
ultimately,  the  Imperial  Government,  must  take 
over  the  burden.'  The  City  of  Berlin  assumed 
the  responsibility  for  its  own  cripples  on  the 
same  understanding.^  In  August,  1917,  there 
was  formed  a  central  organization  for  all  Prussia. 

3.  Work  initiated  and  financed  by  private  agen- 
cies but  with  government  cooperation. 

This  is  the  plan  in  Saxony,  Baden,  Wiirtem- 
berg,  the  Thuringian  states,  Hesse,  Waldeck,  and 
the  Prussian  province  of  Hesse  Nassau  which  has 
joined  forces  with  the  last  two.^  In  Wiirtem- 
berg,  the  Minister  of  State  issued  the  call  for 
organization  but  left  the  actual  work  to  private 
societies;  in  Hesse,  Hesse  Nassau,  and  Waldeck, 
the  whole  organization  was  volunteer,  the  state 
governments  taking  only  the  most  passive  cog- 
nizance of  it. 

In  all  these  divisions  of  the  empire,  no  matter 
what  the  chief  authority  was,  there  were  local 

' Korrespondenzfiir  Kriegswohlfahrlspflege,  Berlin,  191S,  i.  69. 

*  Zeitsckrift  filr  Kriippelfiirsorge,  Leipzig,  1915,  viii,  290. 

'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1915,  viii,  67; 
1916,  ix,  24.  Korrespondenz  fiir  Kriegswohlfahrlspflege,  Berlin, 
191S,  i,  69. 


organizations  in  almost  every  town.  In  these 
local  committees,  whether  they  were  the  real 
directors  of  the  work  as  in  Hesse,  or  only  advisory 
bodies  as  in  Bavaria,  the  agencies  represented 
were  usually  the  same.  They  comprised  repre- 
sentatives of  the  municipality,  the  local  Bezirks- 
commando  (military  district  command),  the  acci- 
dent insurance  associations,  the  Red  Cross,  the 
women's  clubs,  the  employers,  and,  with  varying 
frequency,  the  Chamber  of  Commerce,  the 
Chamber  of  Trades,  the  Chamber  of  Handwork, 
and  the  unions.  The  arrangement  was  a  Haupt- 
fiirsorge  organization  (general  committee)  com- 
posed in  this  way  and  representing  the  whole 
state  or  province,  and  under  it  Filrsorgestellen 
(local  offices)  in  the  various  towns.  In  the  very 
small  places,  individual  men  would  represent 
the  cripple  work.  By  August,  1916,  it  could  be 
reported  that  Germany  was  thoroughly  covered 
with  a  network  of  such  organizations.'  They 
were,  of  course,  not  all  of  equal  efficiency,  since 
the  social  conditions  and  the  facilities  differed 
greatly  in  the  different  states.  In  Westphalia 
and  the  Rhine,  which  are  thickly  settled  indus- 
trial provinces,  the  arrangements  are  excellent; 
in  Mecklenburg,  which  is  agricultural  and  con- 
servative, reports  showed  very  scant  progress. 
The  efficiency  of  the  whole  organization  depends 
on  the  enthusiasm  and  ability  of  the  different 
individuals  concerned  in  the  work.  There  have 
been  complaints  in  the  papers  that  the  Fiirsorge- 
stelle  in  some  localities  exists  only  in  name  or 
that  the  local  representative  is  an  uneducated 
person  unable  to  discharge  his  responsibilities. 

PRESENT  ORGANIZATION 

The  unsystematized  character  of  the  whole 
work  soon  began  to  present  difficulties.  The 
Prussian  provinces,  having  organized  their  work 
with  a  good  deal  of  formality,  felt  the  need  of 
common  standards  for  the  whole  country  and,  as 
early  as  September,  1915,  called  a  meeting  of 
representatives  of  the  cripple  work  to  discuss  a 
common  organization.  At  this  meeting,  the 
Reichsausschuss  (National  Committee)  was 
formed.    The  committee  consists  of  one  repre- 

•  Verhandlungsbericht  iiber  die  Tagung  fiir  Kriegsbeschddig- 
tenfiirsorge  in  Koln,  Berlin,  1917,  p.  i,  20.  (Reichsausschuss 
der  Kriegsbeschadigtenfursorge.    Sonderschriften,  Heft  i.) 


8 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  i 


sentative  each  from  all  the  states  of  the  empire. 
The  twelve  Prussian  provinces  have  only  one 
representative,  but  they  meet  beforehand  to 
select  him  and  to  agree  on  their  policy.  Coop- 
eration of  the  Reichsausschuss  with  the  Imperial 
Government  is  secured  by  the  presence  of  a 
commissioner  appointed  by  the  Ministry  of  the 
Interior.  .  .  The  Ministers  of  the  Interior  of 
each  of  the  separate  states  may  also  send  repre- 
sentatives if  they  are  not  otherwise  in  touch  with 
the  work.  This  makes  the  Reichsausschuss  an 
extremely  large  body.  Its  actual  work,  however, 
is  done  by  an  executive  committee  consisting  of 
thirteen  representatives  chosen  equally  from  the 
north,  the  middle,  and  the  southern  states,  and 
from  the  City  of  Berlin.  Its  president  is  Dr. 
von  Winterfeldt,  Landeshauptmann  of  Branden- 
burg. 

The  duty  of  the  Reichsausschuss  is  to  co-ordi- 
nate the  work  of  the  various  organizations  and 
to  make  investigations  and  plans  for  future  work. 
It  has  published  sets  of  guiding  principles  for 
vocational  advice,  re-education  and  land  settle- 
ment and  for  the  general  work  of  the  local  com- 
mittees. All  doubtful  matters  and  questions  of 
policy  are  referred  to  it.  It  has  sub-committees 
to  investigate  and  report  plans  in  the  following 
fields :  Legal  action,  cooperation  of  local  commit- 
tees, finance,  publicity,  statistics,  medical  treat- 
ment, vocational  advice  and  re-education,  place- 
ment, land  settlement  and  housing,  families  of 
war  cripples.'  It  also  is  the  medium  through 
which  any  funds  contributed  by  the  Imperial 
Government  are  distributed.  So  far,  these  have 
consisted  only  in  one  grant  of  five  million  marks 
which  is  almost  negligible  compared  with  what 
the  private  organizations  are  spending.* 

III.   MEDICAL  TREATMENT 

The  responsibility  for  medical  treatment,  as 
stated  above,  is  exclusively  the  province  of  the 
Imperial  Government,  as  represented  by  the 
War  Department.  All  hospitals  where  wounded 
soldiers  are  treated,  whether  for  first  surgical 
care  or  later  convalescent  care,  are  under  mili- 

'  Verhandlungsbericht  iiber  die  Tagung  fur  Kriegsbeschddig- 
tenfiirsorge  in  Koln,  Berlin,  1917,  p.  21-26.  (Reichsausschuss 
der  KriegsbeschadigtenfUrsorge.     Sonderschriften,  Heft  !.)■ 

'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  139. 


tary  authority  and  discipline.  These  hospitals 
fall  into  two  divisions,  not  according  to  function, 
but  according  to  management. 

The  first  type  is  that  called  Reservelazarett, 
Festungslazarett  or  Garnisonlazarett  (reserve  hos- 
pital). In  these  the  staff  are  all  regular  army  men 
or  civilians  recently  elevated  to  army  rank,  and 
the  hospital  is  financed  by  the  war  office  and 
devoted  entirely  to  the  care  of  wounded  soldiers.' 
The  second  is  called  Vereinslazarett  (affiliated 
hospital).  These  are  private  hospitals  which 
have  put  at  the  disposal  of  the  War  Department 
sometimes  their  whole  plant  and  sometimes 
merely  a  certain  number  of  beds.  In  such  cases, 
the  hospital  continues  to  manage  its  own  finances 
and  is  under  the  direction  of  its  regular  staff, 
but  the  War  Department  puts  in  a  representa- 
tive who  is  responsible  for  the  discipline  of  the 
soldiers  received.  The  Department  may  also 
assign  army  men  to  act  as  teachers  at  their 
regular  army  pay,  and  a  good  many  crippled 
officers  and  non-commissioned  officers  are  em- 
ployed in  this  way. 

There  is  an  informal  understanding  between 
the  military  authorities  and  the  Vereinslazaretten, 
which  are  often  specialized  orthopedic  hospitals 
and  cripple  homes,  that  the  department  will  try 
to  send  men  to  hospitals  which  are  in  their  home 
district  or  which  specialize  in  the  treatment  of 
their  particular  injuries.  If  the  disposition  can- 
not be  made  at  first,  the  department  arranges  to 
transfer  men  ultimately,  so  that  they  will  get 
the  benefit  of  specialized  care.  The  department 
pays  the  Vereinslazaretten  3.50  marks  a  day  for 
each  wounded  soldier  received. 

There  are  no  reports  of  the  total  number  of 
orthopedic  hospitals  in  Germany.  Dr.  Schwien- 
ing,  chief  medical  officer  of  the  Gardekorps, 
Berlin,  in  February,  1915,  made  the  following 
statement:  "On  the  tenth  day  of  mobilization, 
there  were  about  100,000  beds  in  the  Reserve 
and  Vereinslazaretten  at  the  disposal  of  the  mili- 
tary authorities  and  this  number  doubled  in  a 
short  time.  .  .  In  countless  hospitals,  we  had, 
at  our  disposal,  medico-mechanic  and  other 
apparatus  for  physical  and  hydrotherapeutic 
cure.  We  had  also  military  convalescent  hos- 
pitals and  sanitaria  for  mechano-  and  hydro- 

'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  191 5.  viii,  53. 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


therapy.  .  .  The  greatest  specialists,  if  they 
were  not  already  at  the  front,  were  appointed 
consulting  experts  at  the  military  hospitals." 
He  gave  the  following  figures  as  to  the  number  of 
medico-mechanical  institutions  at  the  disposal 
of  the  War  Department,  according  to  military 
districts.  Each  district  is  designated  not  geo- 
graphically, but  by  the  number  of  the  army  corps 
under  whose  authority  it  falls. 


Gardekorps 

Army  Corps  No.  II 

Army  Corps  No.  X 

Army  Corps  No.  VI 

Army  Corps  No.     XI 
Army  Corps  No.  VII 

Army  Corps  No.  XIV 


Berlin 


Rhein 
Westfalen 


24 

7 
15 

21  plus  7  hydro- 
therapeutic 

8 
80 


134 

There  are  places  in  107  sanitaria  reserved  for 
soldiers.^  These  figures  would  seem  to  apply 
both  to  Reserve  and  Vereinslazaretten  but  are 
obviously  not  complete,  since  there  are  thirty- 
two  army  corps  districts  in  the  empire. 

These  Vereinslazaretten,  temporarily  united 
under  government  service,  are  of  the  most  vari- 
ous kinds.  Germany  had  paid  a  great  deal  of 
attention  to  the  care  of  cripples,  even  before  the 
war.  There  had  been  developed,  during  fifty 
years'  experience,  fifty-four  cripple  homes,  rang- 
ing in  size  from  six  beds  to  three  hundred.  Some 
of  them  were  already  taking  adults  as  well  as 
children;  they  had  among  them  221  workshops, 
teaching  fifty-one  trades.  Dr.  Biesalski,  secre- 
tary of  the  Vereinigung  Jtir  Kruppelftirsorge  gives 
a  list  of  138  establishments  belonging  to  the 
Vereinigung  and  caring  for  war  cripples.  Some 
of  these,  however,  are  only  out-patient  clinics. 

Another  agency  which  had  promoted  the  study 
of  the  care  and  training  of  cripples  was  the  Ger- 
man system  of  social  insurance.  Under  the  in- 
surance laws,  there  are  two  agencies  responsible 
for  the  care  of  industrial  cripples.  The  Kranken- 
kassen  (sick-benefit  societies)  to  which  employers 
contribute  one-third  and  employees  two-thirds, 
take  charge  of  a  workman  for  the  first  twenty- 
six  weeks  of  illness.    After  that,  the  Berufsgenos- 

'  Zeitschrift  fur  Kruppelftirsorge,  Leipzig,  191S,  viii,  142. 


senschaften  (employers'  accident  insurance  asso- 
ciations) support  him  for  the  rest  of  the  time,  or 
in  case  of  permanent  invalidity.  This  support 
means  both  medical  care  and  sick  payments. 
The  medical  care  may  be  given  either  in  the 
patient's  home  or  in  a  hospital,  and  the  injured 
man  is  obliged  to  accept  the  kind  of  treatment 
offered  or  forego  his  privileges. 

As  a  consequence,  both  Krankenkassen  and 
Berufsgenossenschaften  have  excellent  hospitals. 
Particularly  the  Berufsgenossenschaften,  which 
have  charge  of  the  men  for  longer  periods  and 
are  more  concerned  with  cripples  than  with  mere 
cases  of  sickness,  have  made  a  special  study  of 
the  physical  and  mental  training  of  industrial 
cripples.  Preparing  a  man  to  resume  his  trade 
was  to  their  advantage,  since  it  relieved  them  of 
the  necessity  of  paying  him  a  permanent  pension. 

At  the  outbreak  of  the  war,  cripple  homes, 
Krankenkassen,  and  Berufsgenossenschaften  all 
offered  their  hospitals  to  the  War  Department, 
as  Vereinslazaretten  and  the  municipalities  offered 
their  hospitals  and  almshouses.  Beside  this,  the 
Red  Cross  established  some  orthopedic  hospitals 
in  localities  where  there  seemed  a  lack,  and  pri- 
vate individuals  and  charitable  institutions  did 
the  same.  The  result  was  a  fairly  complete  net- 
work of  orthopedic  homes  distributed  all  over 
the  empire,  to  which  men  could  be  sent  for  final 
intensive  treatment.  Dr.  Leo  Mayer,  recently 
of  the  Orthopedic  Hospital  Am  Urban,  Berlin, 
states  that  there  must  be  at  present  about  200 
such  institutions  and  that  it  may  confidently  be 
said  that  Germany's  facilities  for  giving  ortho- 
pedic treatment  to  crippled  soldiers  are  quite 
adequate. 

PROCESS  OF  TREATMENT 

The  principle  upon  which  the  orthopedic  treat- 
ment proceeds  is  that  practically  every  cripple 
can  be  made  fit  to  work  again.  This  attitude  is 
assumed  by  all  the  German  writers,  in  contrast 
to  the  French,  who  make  much  more  conserva- 
tive estimates.  It  appears  to  be  a  definite  public 
policy  to  assume  as  an  article  of  faith  that 
rehabilitation  is  an  absolute  success  and  that  dis- 
cussion is  superfluous.  Dr.  Biesalski  states  that 
from  ninety  per  cent,  to  ninety-five  per  cent,  of 
all  war  cripples  treated  are  returned  to  industrial 


10 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  I 


life.  Dr.  Leo  Mayer  says  that  of  400  treated  at 
the  hospital  Am  Urban,  only  two  were  unable  to 
go  back  to  work. 

The  time  of  treatment  for  a  man  in  the  ortho- 
pedic hospital  is  from  two  to  six  months.  Men 
are  kept  here  until  they  are  ready  to  go  back 
to  the  army  or  are  pronounced  definitely  dienst- 
unfdhig,  unfit  for  service.  Even  if  they  are  so 
unfit,  the  War  Department  does  not  discharge 
them  until  they  are  pronounced  by  the  physician 
physically  fit  to  go  back  to  civil  life.  It  some- 
times happens  that  a  man  has  a  relapse  after 
discharge  or  that  a  further,  expensive  treatment 
might  improve  his  condition.  In  this  case,  the 
military  authorities  take  no  responsibility  and 
private  charity  must  attend  to  him  as  a  civilian. 

FACILITIES 

There  is  great  enthusiasm  in  Germany  over 
the  advances  made  in  orthopedic  treatment,  and 
it  is  certain  that  the  best  hospitals  are  excel- 
lently equipped.  The  arrangements  at  Niirn- 
berg,  for  instance,  include  an  operating  room,  a 
room  for  making  plaster  casts,  an  X-ray  machine, 
hot  and  cold  baths,  massage,  electric  and  medico- 
mechanical  treatments  of  all  sorts.  To  what  ex- 
tent all  the  hospitals  are  supplied  with  modern 
orthopedic  devices  cannot  be  ascertained.  There 
has  been  some  complaint  in  the  papers  that  the 
remoter  hospitals  have  very  incomplete  arrange- 
ments and  that  the  great  demand  for  orthope- 
dists leaves  some  places  unsupplied.  New  short 
courses  for  orthopedists  have  been  put  in  at  some 
of  the  medical  schools  and  there  is  an  enthusi- 
astic effort  to  meet  the  lack;  also  there  is  wide 
publicity  on  the  subject  which  tends  to  bring  the 
poorer  hospitals  up  to  the  standard. 

More  and  more  emphasis  is  being  placed  on 
physical  exercise  as  a  means  of  strengthening  the 
stump  and  also  the  remaining  limbs  and  of 
bringing  the  physical  condition  back  to  the 
standard.  The  plan  is  that  a  man  shall  begin 
very  simple  but  systematic  physical  exercises 
even  before  he  is  out  of  bed.  These  are  gradually 
increased  until  finally  he  has  two  or  three  hours 
a  day  under  a  regular  gymnasium  instructor. 
In  many  places,  physical  directors  from  the 
public  schools  and  universities  have  volunteered 
their  services  and  act  as  part  of  the  regular  hos- 


pital staff.  Turnvereine,  or  athletic  clubs  for 
adults,  are  very  common  in  German  towns  and 
these  often  have  a  gymnasium  or  an  athletic 
field  which  they  turn  over  to  the  cripples.  Most 
of  the  larger  towns  have  public  parks  and  swim- 
ming pools  which  they  place  at  the  disposal  of 
the  hospitals.  Games  and  outdoor  sports  are 
found  to  have  an  immense  therapeutic  value, 
both  psychological  and  physical  as  compared 
with  medico-mechanical  treatment. 

At  Munich,  at  the  Konigliche  Universitats- 
Poliklinik  and  the  Medico-mechanische  Ambu- 
latorium,  2,000  wounded  men  receive  regular 
physical  training.  The  Oscar-Helene  Heim,  Ber- 
lin-Zehlendorf,  reports  as  part  of  its  regular 
training  for  one-armed  and  one-legged  men,  ball 
playing,  spear  throwing,  bowling,  shooting,  and 
quoits.'  The  sports  at  Ettlingen  include  work  on 
parallel  bars  for  one-armed  men,  and  hand  ball 
and  jumping  for  one-legged  men,  besides  regular 
calisthenic  exercises  pursued  in  the  open.  At  the 
one-armed  school  at  Heidelberg,  Dr.  Risson 
reports  club  swinging  for  one-legged  men,  a  con- 
test with  the  horse  between  the  one-armed  and 
one-legged,  standing  high  jump  for  the  one- 
legged,  putting  the  shot  by  the  one-armed,  also 
ball  throwing  and  hand  ball  for  the  latter,  the 
stump  being  used  as  well  as  the  good  arm.  The 
third  army  district  (Niirnberg)  has  a  similar 
program.  The  reserve  hospital  at  Gorden, 
Brandenburg,  emphasizes  long  distance  running 
and  takes  its  men  for  long  hikes  in  the  open  in 
regular  running  costume.  An  exhibition  contest 
was  recently  held  at  this  hospital  for  the  purpose 
-  of  convincing  doctors  and  social  workers  all  over 
the  country  of  the  possibilities  for  the  cripple  in 
outdoor  sports.*  Swimming  is  also  being  empha- 
sized. In  Berlin,  cripples  have  been  given  free 
entrance  tickets  to  the  public  swimming  pools. 
Their  swimming  is  supervised  and  no  one 
allowed  to  go  into  deep  water  until  the  instructor 
is  sure  of  his  ability.  On  a  day  when  forty  cripples, 
mostly  with  arm  and  leg  injuries,  made  their  first 
attempt,  all  of  them  were  able  to  swim  without 
help.  In  a  swimming  gymkhana  organized  later, 
two  legless  men  competed  among  the  others.* 

'  Zeitschrift  far  Kriippelfiirsorge,  Leipzig,  1915,  viii,  19-22. 
*  Vom  Krieg  zur  Friedensarbeit,  Berlin.  191 7,  iii,  26-27. 
'  Vom  Krieg  zur  Friedensarbeit,  Berlin,  1917,  iii,  28. 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


II 


There  is  a  movement  to  arouse  popular  inter- 
est in  this  branch  of  cripple  welfare.  The 
Deutsche  Reichsausschuss  fur  Leibesubungen  has 
supplied  medals  at  hospital  contests.*  Local  care 
committees  encourage  the  formation  in  their 
districts  of  permanent  athletic  clubs  for  cripples, 
which  tend  to  keep  up  their  physical  condition. 
Such  clubs  have  been  formed  in  Berlin,  Leipzig, 
Hamburg,  Essen,  Mannheim,  and  Kiel.' 

Trade  training,  even  when  given  in  the  hos- 
pital, is  under  civilian  auspices  and  will  be  dis- 
cussed later.  Many  hospitals,  however,  even 
when  they  do  not  attempt  to  train  a  man  to  a 
trade,  have  a  workshop  or  two  attached  for  pur- 
poses of  functional  re-education.  In  such  a  case, 
manual  training  is  counted  as  part  of  the  medical 
treatment  and  is  managed  by  the  hospital  under 
military  authority,  though  occasionally,  as  at 
Diisseldorf,  the  care  committee  of  the  district 
sends  visiting  teachers  to  help  the  men  with 
some  simple  manual  occupation  before  they  are 
able  to  be  out  of  bed.  There  is  great  emphasis, 
in  all  reports  on  the  subject,  on  the  fact  that 
even  this  occupational  therapy  should  be  really 
useful  and  should  lead  the  patient  direct  to  some 
practical  occupation.  There  is  also  some  em- 
phasis on  the  fact  that  a  man  should  be  visited 
and  his  mind  turned  toward  work  at  the  earliest 
possible  moment  before  mental  lethargy  has 
any  chance  to  set  in. 

IV.   ARTIFICIAL  LIMBS 

All  artificial  limbs  are  furnished  and  kept  in 
repair  by  the  government,  which  also  furnishes 
new  ones  when  necessary. 

In  distinction  from  the  practice  of  other 
countries,  the  government  prescribes  no  standard 
pattern.  It  would  appear  that  each  orthopedist 
selects  the  limbs  for  his  own  patients.  The 
War  Department  has  prescribed  certain  maxi- 
mum prices  for  prostheses  of  different  types, 
e.  g.,  for  amputation  of  lower  arm,  of  upper  arm, 
lower  leg,  and  upper  leg.  The  Department  will 
not  be  responsible  for  prostheses  costing  more 
than  these  standard  prices.  Otherwise,  there  is 
no  ofificial  supervision  exercised,  and  the  matter 
is  left  to  the  doctors  and  engineers  of  the  country. 

•  Vom  Krieg  zur  Friedensarbeit,  Berlin,  1917,  iii,  27. 

^  Zeilschrift  fiir  Kriippelfursorge,  Leipzig,  1917,  x,  220-225. 


The  result  is  an  immense  stimulation  of  ac- 
tivity. The  magazines  are  full  of  descriptions  of 
new  prostheses  recommended  by  doctors  and 
manual  training  teachers  from  all  parts  of  the 
country.  At  an  exhibition  of  artificial  limbs, 
held  at  Charlottenburg,  there  were  shown  thirty 
kinds  of  artificial  arms  and  fifty  legs  in  actual 
use.^  The  Orthopddische  Gesellschaft  (Ortho- 
pedic Society)  has  devoted  much  discussion  to 
the  matter  and  there  has  been  wide  education 
and  publicity. 

The  principle  now  thoroughly  accepted  is  that 
the  prosthesis  should  reproduce  not  the  lost 
limb,  but  the  lost  function.  It  should  not  be  an 
imitation  arm  or  leg,  but  a  tool.  The  standard 
of  merit  is  the  number  of  activities  it  makes  pos- 
sible. The  prostheses  usually  supplied  to  crip- 
ples answer  this  definition.  The  legs  are  very 
like  the  old-fashioned  peg  leg;  the  arms  are 
some  variation  of  jointed  rod  with  an  arrange- 
ment by  which  different  appliances  may  be 
fastened  to  it.  With  the  arm  is  supplied  a  wooden 
hand  covered  with  a  glove  which  may  be  attached 
for  street  wear.  The  so-called  Sonntagsarm 
(Sunday  arm)  is  never  supplied  except  on  request 
to  clerical  workers. 

The  limbs  are  made  by  private  firms,  many  of 
whom  sell  them  at  cost  price  as  a  patriotic 
measure.  Some  of  the  hospitals  have  an  ortho- 
pedic workshop  as  part  of  their  vocational  train- 
ing equipment,  and  these  make  their  own  limbs 
or  at  least  prostheses  for  temporary  wear.  But 
there  are  certain  well-known  makes  of  limb  which 
have  come  into  very  general  use. 

LIMBS  USED 

The  Jagenberg  Arm.  This  is  the  invention  of  a 
factory  owner  at  Diisseldorf,  where  there  is  a 
very  large  school  for  the  wounded.  It  consists 
of  two  metal  rods  joined  by  a  ball  and  socket 
joint  which  can  be  turned  in  any  direction,  a 
grip  of  the  well  hand  sufficing  to  fix  or  loosen  it. 
It  is  fastened  to  the  stump  by  a  tight-fitting 
leather  cuff.  With  the  arm  is  furnished  a  set  of 
twenty  attachments  suitable  for  all  the  ordinary 
operations  of  life,  such  as  eating,  dressing,  etc., 
and  a  wooden  hand  for  street  wear.  The  number 
of  attachments  can  be  added  to  at  will  to  suit 

'  Die  Versorgung  der  Kriegsbeschadigten.  Wien,  1917,  p.  10. 


12 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  I 


any  trade.  The  arm  is  easily  made  and  its 
parts  can  be  had  at  any  factory.^ 

Rota  Arm.  Made  at  the  Rota  Works,  Aachen, 
after  designs  by  the  engineer  FeHx  Meyer.  Very 
similar  to  the  Jagenberg  arm,  it  differs  in  the 
manner  of  attaching  tools.  A  set  of  attachments 
and  an  artificial  hand  is  also  furnished  with  this 
arm.' 

Siemens- Schuckert  Arm.  Made  by  the  Sie- 
mens-Schuckert  Works,  Niirnberg,  after  designs 
by  Dr.  Silberstein,  of  the  Royal  Reserve  Hos- 
pital, Niirnberg.  The  firm  manufactures  the 
arms  at  cost.  This  differs  from  the  Jagenberg 
and  Rota  arms  in  having  the  weight  of  the  arm 
borne  by  a  strap  over  the  shoulder,  while  in  the 
two  former  the  weight  comes  on  the  stump. 
The  arm  has  been  tried  out  particularly  in  the 
Niirnberg  carpentry  shops  with  great  success. 
It  has  a  carefully  worked-out  set  of  attachments 
fitted  especially  for  carpentering.* 

Riedinger  Arm.  The  invention  of  Professor 
Riedinger,  Wiirzburg.  It  consists  of  a  long 
leather  upper  arm  and  short  metal  lower  arm, 
with  a  tube  into  which  attachments  can  be 
screwed.  It  is  fastened  on  by  a  complicated 
harness  over  the  shoulder  and  is  particularly 
good  for  heavy  lifting.* 

Brandt  Arm.  The  invention  of  Wilhelm  Brandt, 
Brunswick.  This  is  a  celluloid  arm  with  sliding 
joint,  meant  for  lighter  work. 

Hanover  Arm.  Made  by  the  firm  of  Nicolai, 
Hanover.  Here  the  ball  joint  is  replaced  by  a 
hinge,  fastened  at  any  angle  by  wing  screws. 
This  arm  has  also  a  set  of  attachments.  It  is 
light  and  particularly  suited  to  clerical  workers.' 

The  two  Schonheits  or  Sonntags  arms  (decora- 
tive arms)  made  are  the  Schiisse  arm,  Leipzig, 
and  Carnes  arm,  an  American  patent  purchased 
by  a  German  firm.  The  Schiisse  arm  is  a  perfect 
imitation  of  the  human  arm,  entirely  useless  and 
purchased  only  by  wealthy  cripples  as  an  extra 

2  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giltersloh,  1917,  p.  16. 

'  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  16. 

*  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  16. 

'  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  16. 

'  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  17. 


prosthesis.  The  Carnes  arm  is  also  an  imitation, 
but  with  a  very  complicated  mechanism,  by 
which  most  of  the  operations  of  daily  life  can 
be  managed.  The  Carnes  arm  is  too  expensive 
and  fragile  for  wide  use.  A  cheap  imitation  of 
the  Carnes  arm  has  been  invented  by  Professor 
Bade,  Hanover,  but  is  not  durable.  Even  this 
has  not  met  with  wide  approval,  because  the 
arms  made  on  the  tool  plan  far  surpass  it  in 
working  usefulness. 

Two  hand  prostheses  are  in  wide  use,  both  of 
them  invented  by  cripples  and  both  on  the 
principle  of  the  claw.  The  hand  best  suited  to 
factory  workers  is  that  invented  by  the  lock- 
smith Matthias  Natius.  It  consists  of  an  iron 
claw  fastened  with  straps  to  the  stump.  It 
grasps  a  tool  like  a  hand  and  can  then  be  clamped 
in  that  position. 

The  Keller  claw  was  invented  by  a  farmer, 
August  Keller,  and  consists  of  three  wires  the 
thickness  of  a  lead  pencil  wound  together  claw- 
shape  and  fastened  to  the  stump  by  a  strap.  It 
grasps  tools  as  does  the  Natius  hand,  and  its 
owner  has  found  it  entirely  successful  for  all 
farm  operations.  It  has  now  been  patented  and 
is  being  widely  copied.* 

The  makes  of  artificial  leg  have  not  been  so 
standardized.  The  general  principle  on  which 
they  are  made  is  that  of  simple  construction 
and  swift  repair.  Orthopedists  have  given  up 
the  effort  to  get  much  foot  movement  and  the 
usual  plan  is  an  unjointed  foot  with  a  convex 
sole.  The  most  noteworthy  improvement  is  that 
adopted  at  Freiburg  of  reducing  the  weight  by 
making  the  upper  leg  of  a  thin  metal  rod.  The 
shape  of  the  leg  is  retained  by  covering  the  rod 
with  a  wire  form  covered  with  elastic.  Dr. 
Alfred  Jaks,  of  Chemnitz,  has  invented  a  leg 
consisting  of  parallel  levers  which  are  set  in 
motion  by  raising  and  lowering  the  stump.' 

INVESTIGATION  AND  PUBLICITY 

All  these  prostheses  are  in  use,  each  one  being 
popular  in  its  own  neighborhood  or  in  some 

'  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  18. 

»  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  I7- 

•  Ulbrich,  Martin.  Die  evangelische  Kirche  und  die 
Kriegsbeschadigten.    Giitersloh,  1917,  p.  18. 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


13 


particular  trade.  In  February,  1916,  the  Ver- 
band  Deutscher  Ingenieure  (Society  of  German 
Engineers)  made  an  attempt  to  standardize  the 
various  efforts.  It  offered  three  prizes  for  the 
best  artificial  arm  suited  to  mechanical  workers 
and  combining  the  qualities  of  lightness,  cheap- 
ness, and  working  usefulness.  There  were  eighty- 
two  entries  for  this  contest,  sixty  of  which  ful- 
filled the  entrance  requirements.  The  ideal  arm 
was  not  found  and  the  first  prize  remained  unre- 
warded, but  the  second  and  third  prizes  went 
to  the  Jagenberg  and  Rota  arms  described  above 
and  small  sums  were  awarded  to  the  various 
other  entries.^" 

The  prize  entries  were  on  view  for  three  months 
with  very  good  educational  results.  The  Society 
then  decided  to  establish  a  permanent  Priifungs- 
stelle  (test  station)  for  artificial  limbs,  which  was 
opened  at  Charlottenburg  in  February,  1916. 
The  station  is  a  small  workshop  where  about  ten 
cripples  who  are  skilled  mechanics  can  be  em- 
ployed at  once  and  give  a  thorough  working 
trial  to  any  prosthesis.  Up  to  August,  1916, 
the  station  had  tried  out  sixteen  arms,  three 
hands  and  four  legs  and  had  had  under  investiga- 
tion nineteen  arms  and  five  legs.  The  station 
has  been  empowered  by  the  medical  department 
of  the  Gardekorps,  the  local  military  authority 
in  the  Berlin  district,  to  advise  all  cripples  under 
its  supervision  as  to  prostheses.  To  August, 
1916,  345  cripples  Jiad  been  so  advised."  The 
Kaiser,  from  sums  placed  at  his  disposal  for  war 
relief,  has  recently  turned  over  50,000  marks  to 
be  used  for  the  purchase  and  testing  of  artificial 
limbs.  Twenty  thousand  of  this  goes  direct  to 
the  Priifungsstelle  at  Charlottenburg. 

V.   RE-EDUCATION 

In  the  German  system,  the  functions  of  voca- 
tional advice  and  re-education  are  closely  allied 
and  can  hardly  be  treated  separately.  They 
constitute  the  first  half  of  civilian  duties  toward 
war  cripples  and  are  managed  in  combination  or 
separately,  according  to  the  locality. 

Although  vocational  advice  in  fact  precedes 
re-education,  it  is  more  convenient,  in  this  study, 
to  take  it  up  second,  since  its  discussion  necessi- 

'"  Zeilschrift  fur  Kruppelfilrsorge,  Leipzig,  1916,  ix,  190. 
"  Zeitschrift  fiir  Kruppelfiirsorge,  Leipzig,  1917,  x,  41-42. 


tates  a  knowledge  of  the  re-educational  possi- 
bilities. 

The  chief  thing  to  be  noted  about  re-education 
in  Germany  is  that  it  goes  on  at  the  same  time 
as  the  medical  treatment,  the  two  processes  are 
simultaneous,  not  consecutive  as  is  largely  the  J 
case  in  England.  This  has  two  causes:  First, 
there  is  the  strong  conviction  among  all  cripple 
welfare  workers  that  results  can  be  obtained  only 
by  getting  hold  of  a  patient  at  the  earliest  possi- 
ble moment  of  convalescence,  and  second,  the 
fact  that,  since  the  Imperial  Government  does 
not  pay  anything  toward  re-education,  it  is 
more  economical  for  the  care  committees  to 
attend  to  it  while  the  men  are  in  the  hospitals 
and  thus  save  themselves  the  expense  of  main- 
tenance. The  usual  plan  of  the  care  committees, 
as  has  been  said,  is  to  give  men  their  trade  train- 
ing while  they  are  still  in  the  military  hospital, 
beginning  it,  in  fact,  as  soon  as  they  are  able 
to  be  out  of  bed.  Given  this  plan  for  the  housing 
of  the  men,  there  are  two  possible  arrangements 
for  the  workshops.  Either  the  care  committee 
can  maintain  workshops  in  the  hospitals,  or  it 
can  use  a  separate  building  to  which  the  men  are 
transported  every  day. 

Both  these  plans  are  in  use,  the  one  adopted 
depending  on  the  funds  and  the  buildings 
available  to  the  local  care  committee.  We  may 
allude  to  them  for  convenience  as  the  indoor 
plan,  that  where  the  instruction  is  given  in  the 
hospital,  and  the  outdoor  plan,  where  the  men 
are  taken  out  to  school. 

INDOOR  PLAN 

There  are  a  certain  number  of  hospitals,  like 
the  larger  cripple  schools,  which  are  already 
equipped  with  shops  or  where  it  has  been  possi- 
ble to  build  them.  In  these,  a  very  complete 
system  of  trade  training  is  carried  out  under  the 
hospital  roof  by  civilian  instructors.  The  plan 
must,  of  course,  have  the  cooperation  of  the 
local  Bezirkskommando  (district  commandant) 
and  of  the  hospital  director.  In  view  of  the  pro- 
fessions made  by  the  War  Department,  it  is  the 
understanding  that  this  will  always  be  forthcom- 
ing. Different  hospitals  have  complained  of  a 
certain  amount  of  friction,  but  this  is  only  in 
details  and  in  individual  cases.    As  a  rule,  the 


14 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  i 


military  authorities  are  exceedingly  glad  to  turn 
over  this  part  of  the  work,  which  they  are  unable 
to  carry. 

Since  the  discipline  of  the  hospital  is  military, 
the  rrien  can  be  assigned  by  the  director  to  dif- 
ferent shops  to  spend  a  certain  number  of  hours 
every  day.  The  civilian  instructor  does  not 
actually  force  them  to  work,  but  the  example  of 
other  pupils  is  usually  enough  for  an  apathetic 
man.  In  a  very  few  hospitals,  such  as  the  agri- 
cultural school  at  Kortau,  it  has  been  possible  to 
assign  crippled  officers  as  instructors  and  the 
discipline  is  entirely  military. 

NURNBERG 

The  Nurnberg  hospital  is  the  most  complete 
example  of  this  plan  to  hand,  though  even  this 
hospital,  which  was  fortunate  enough  to  obtain 
space  and  equipment  for  workshops,  does  not 
manage  the  re-education  problem  exclusively 
within  its  own  walls,  but  works  in  close  connec- 
tion with  the  city  schools. 

The  Nurnberg  hospital  has  900  beds.  It 
occupies  three  new  hospital  buildings,  turned 
over  to  the  military  authorities  by  the  City  of 
Nurnberg  and  furnished  with  all  the  modern 
orthopedic  equipment.  The  school  facilities 
include  a  large-sized  piece  of  land  and  twelve 
workshops,  the  latter  fitted  up  with  machinery 
and  tools,  which  are  the  gift  of  private  manu- 
facturing firms.  The  teaching  is  by  professional 
teachers  who  have  volunteered  their  services, 
and  foremen  from  manufacturing  shops,  whose 
services  are  donated  by  their  employers. 

The  instruction  at  this  hospital  resolves  itself 
into  two  divisions :  general  and  theoretic  instruc- 
tion in  the  schools  of  Nurnberg,  and  practical 
shop  work  in  the  hospital  workshops.  The  cur- 
riculum is  as  follows: 

A.  Theoretic  work  (special  classes  held  by  volunteer 
teachers  in  Nurnberg  schools,  with  occasional 
class  at  hospital). 

1.  Left-handed  writing. 

2.  Improved  writing  with  right  hand. 

3.  Typewriting. 

4.  Stenography. 

5.  Commercial  course. 

6.  General  course  for  industrial  workers. 

7.  Farm  bookkeeping. 


8.  Theoretic  course  for  the  building  trades  (car- 

penters, locksmiths,  etc.). 

9.  Theoretic  course  for  building  trades  (masons, 

plasterers,  etc.). 

10.  Decoration  and  design. 

11.  Theoretic  course  for  machinists. 

12.  Left-handed  drawing. 

13.  Office  management. 

B.   Practical  work  (in  workshops  with  volunteer  fore- 
men or  teachers). 

1.  Tailoring. 

2.  Painting. 

3.  Bookbinding. 

4.  Printing. 

5.  Locksmithing. 

6.  Shoemaking. 

7.  Saddlery. 

8.  Weaving  (by  hand  and  machine). 

9.  Orthopedic  mechanics. 

10.  Machine  tool  work. 

11.  Carpentry. 

12.  Farming. 

13.  Paper  hanging. 

14.  Toymaking. 

15.  Blacksmithing. 

16.  Brushmaking. 

These  courses  all  have  regular  hours  and  insist 
on  the  men  turning  out  work  which  is  up  to 
commercial  standard.' 

As  far  as  can  be  gathered,  the  indoor  plan  is 
the  one  least  often  followed.  A  few  of  the  larger 
cripple  homes,  with  the  big  hospitals  at  Nurn- 
berg, Munich,  Marfeld,  and  Gorden,  are  the 
chief  examples.  The  cripple  homes,  of  course, 
already  had  their  equipment,  and  Nurnberg  and 
Munich  are  in  Bavaria  where  the  state  govern- 
ment finances  the  cripple  work  and  a  larger 
outlay  is  possible.  Gorden  may  possibly  be  an 
exception  but  reports  of  its  work  are  not  at  hand. 
Other  hospitals  managed  in  this  way  are  in 
remote  places  where  there  are  no  educational 
advantages  and  the  hospital  is  obliged  to  furnish 
what  it  can. 

OUTDOOR  PLAN 

The  plan  more  often  followed  is  the  outdoor 
plan,  where  the  instruction  takes  place  in  the 
local  trade  schools.  There  are  excellent  facili- 
ties for  this,  since  every  town  has  at  least  one 

»  Kriegsinvalidenfursorge.  Darstellung  der  in  Nurnberg 
getroffenen  Massnahmen.    Wurzburg,  IQIS.  P-  1-45- 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


15 


trade  school.  Some  representative  of  the  educa- 
tion authorities  generally  serves  on  the  local 
care  committee  and  the  schools  are  eager,  in 
any  case,  to  offer  free  instruction.  German 
magazines  are  full  of  advertisements  of  free 
courses  for  war  cripples,  offered  by  schools  of 
the  most  varying  kind,  public  and  private,  from 
agricultural  and  commercial  schools  to  profes- 
sional schools  and  universities. 

The  plan  of  any  local  care  committee  can, 
therefore,  be  elastic.  In  a  small  town  it  may 
simply  arrange  that  its  cripples  be  given  free 
instruction  at  the  local  trade  school,  in  the 
regular  classes  or  a  special  class.  In  a  large 
town,  like  Dusseldorf,  where  there  are  fifty  hos- 
pitals, the  committee  has  taken  entire  possession 
of  a  school  building  equipped  with  shops  and 
tools  and  gives  twenty  courses  open  to  men 
from  all  the  hospitals.  Other  institutions  of  the 
outdoor  type  fall  between  the  two  extremes, 
but  some  reciprocal  arrangement  between  school 
and  hospital  may  be  considered  the  typical  Ger- 
man institution. 

The  instruction  in  institutions  of  the  outdoor 
type  is  not  under  military  discipline;  the  ar- 
rangement of  the  school  with  the  hospital  authori- 
ties is  a  purely  informal  one.  The  hospital 
director  gives  the  men  permission  to  be  absent 
during  certain  hours  to  attend  school;  the 
school  reports  to  the  director  whether  or  not 
they  attend.  Attendance  is  not  compulsory  and 
men  cannot  be  punished  for  misbehavior,  but 
the  school  reserves  the  right  to  refuse  such 
pupils  as  seem  idle  or  subversive  of  order.  This 
generally  is  discipline  enough. 

The  War  Department  has  a  right  to  dismiss 
a  man  from  the  hospital  as  soon  as  his  physical 
treatment  is  over,  without  regard  to  the  status 
of  his  trade  training.  This  matter  has  to  be 
arranged  by  informal  cooperation  between  the 
civilian  school  directors  and  the  military  hos- 
pital authorities.  As  a  rule,  the  hospitals  are 
willing  to  keep  a  man  until  his  trade  training  is 
complete,  even  though  they  would  otherwise 
dismiss  him  sooner.  It  is  planned  that  none  of 
the  school  courses  shall  take  more  than  six 
months,  the  maximum  time  for  hospital  care. 
These  short  courses  are  intended  for  men  of  ex- 
perience who  need  further  practice  in  their  old 


trade  or  in  an  allied  one.  Six  months  is,  of 
course,  not  long  enough  to  give  a  man  complete 
training  in  a  new  trade,  since  some  require  an 
apprenticeship  of  one  or  more  years.  If  a  man 
needs  further  training  after  the  short  school 
course,  he  becomes  the  charge  of  the  local  care 
committee,  which  supports  him  while  he  attends 
a  technical  school  or  pays  the  premium  for 
apprenticing  him  to  a  master  workman. 

The  courses  given  in  this  way  attain  a  high 
standard  of  efficiency,  both  because  of  the  good 
school  facilities  and  because  a  large  number  of 
the  men  dealt  with  are  already  trained  workmen 
with  a  good  foundation  to  build  on.  It  is  the 
plan  of  the  schools  that,  when  a  man  is  dis- 
missed, he  shall  be  qualified  to  go  back  to  work 
or  to  a  higher  school.  Arrangements  are  made 
with  the  handicraft  guilds  that  men  in  their 
line  of  work  shall  be  able  to  take  their  master 
test  at  the  school  and  be  graduated  master 
workmen.  It  is  also  seen  to  that  every  man  has 
a  fair  common  school  education  before  he  begins 
on  a  special  trade. 

DUSSELDORF 

The  Dusseldorf  school,  which  has  issued  the 
fullest  report  obtainable,  offers  the  following 
curriculum.^ 

A.  General  Education. 

1 .  Preliminary  course. 
o.  Civics. 

b.  German — writing,  grammar,  etc. 

2.  Manual  training  (as  preparation  for  trade  train- 

ing). 

3.  Education  of  one-armed  and  left-handed  men. 

B.  Theoretic  Trade  Courses. 

4.  Building  trades. 

5.  Metal-working  trades. 

a.  Course  for  machinists. 

b.  Course  for  draughtsmen. 

6.  Commercial  course. 

7.  Course  for  railway  and  postal  employees  and 

lower  positions  in  civil  service. 

a.  Office  work. 

b.  Telegraphy. 

8.  Course  for  store  clerks. 

9.  Agricultural  course. 

10.   Course  in  handicraft  as  preparation  for  journey- 
man's and  master  tests. 

'  Gotten,  Karl,  und  Herold.  Dtlsseldorfer  Verwundeten- 
schule.    DUsseldorf,  1916,  p.  7-8. 


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Series  I 


C.    Practical  Trade  Courses  with  Shop  Work. 

1 1 .  Electrical  work. 

12.  Metal  work. 

13.  Carpentry  and  cabinet  work. 

14.  Locksmithing. 

15.  Stone  masonry  and  carving. 

16.  Graphic  trades  (printing,  lithography,  etc.). 

17.  Bookbinding,  cardboard,  and  leather  work. 

18.  Painting  and  plastering. 

19.  Upholstery  and  decorating. 

20.  Dental  laboratory  work. 

Another  form  of  the  outdoor  plan  is  to  send 
the  cripples  out  from  the  hospital  to  shops  in  the 
neighborhood.  Sometimes  they  are  regularly 
apprenticed  to  a  master  workman,  the  care 
committee  paying  the  premium,  sometimes  they 
are  sent  for  shorter  periods  on  payment  of  a 
small  tuition  fee.  This  system  is  followed  for 
individuals  at  Dusseldorf  and  much  more  at 
Cochum.  Otherwise,  it  is  an  expedient  for  the 
smaller  places  where  the  school  facilities  are  not 
good  and  the  cripples  are  fewer. 

It  is  not  possible  to  find  out  how  many  schools 
there  are  in  Germany  of  the  standard  of  Nurn- 
berg  and  Dusseldorf.  Others  noted  in  the 
appendix  are  referred  to,  but  full  reports  of  them 
are  not  available.  The  two  described  appear  to 
maintain  a  very  high  standard  of  efficiency.  In 
both,  the  instruction  is  regular  and  thorough 
and  with  one  end :  to  fit  the  cripple  to  pass  the 
only  real  test,  that  of  actually  making  his  living 
in  the  world  without  help.  The  emphasis  in  all 
the  German  writing  on  the  subject  is  to  the  same 
point.  The  necessity  for  turning  out  really 
skilled  workmen  is  thoroughly  realized  and  it 
is  insisted  that  whatever  work  the  cripple 
does,  even  during  his  earliest  attempts,  should 
be  calculated  to  give  him  a  correct  working 
standard. 

SCHOOLS  FOR  ONE-ARMED 

It  is  recognized  in  Germany  that  the  one- 
armed  man  has  the  greatest  handicap,  and  spe- 
cial arrangements  are  made  for  his  training. 
Besides  exercises  and  instruction  in  the  hospitals, 
there  are  schools  for  the  one-armed  at  Stras- 
burg,=  Baden  Baden,  Heidelberg,  Munich,  Wurz- 
burg,  Kaiserslautern,  Ludwigshafen,  Nurnberg, 

*  Korrespondenz  jur  Kriegswohlfahrtspflege,  Berlin,  igib- 
ii-  35- 


Erlangen,  Frankfurt  a.  M.,  Hanover,  Dresden, 
Chemnitz,  Dusseldorf. 

A  school  for  the  one-armed  means,  as  a  rule, 
special  courses  for  one-armed  men  given  in  the 
regular  city  schools  where  the  men  will  after- 
ward be  taught  a  trade.    The  purpose  of  these 
courses  is  to  exercise  the  stump  and  the  remain- 
ing members  of  the  one-armed  man  until  he  is 
in  a  position  to  take  up  trade-training  beside 
others  less  seriously  crippled.     The  course  in- 
cludes instruction  in  the  ordinary  acts  of  life 
which  are  made  difficult  by  the  loss  of  a  hand, 
such  as  eating,  washing,  dressing,  tying  knots, 
using  simple  tools.     Six  weeks  is  said   to  be 
enough  to  put  a  one-armed  man  in  condition  to 
go  on  with  regular  training.    A  great  part  of  the 
teacher's  duty  is  to  convince  the  men  that  these 
things  are  all  possible  and  need  only  a  little 
practice.    For  this  purpose  one-armed  teachers, 
preferably  industrial  cripples  who  have  worked 
out  their  methods  by  long  practice  are  the  most 
useful,    though   crippled   officers   have   already 
found  employment  in  this  way  at  Nurnberg, 
Dusseldorf,  and  Berlin-Zehlendorf. 

An  essential  part  of  the  course  is  left-handed 
writing  for  those  who  have  lost  the  right  arm. 
This  is  necessary,  whether  or  not  they  are  to 
have  a  clerical  occupation,  both  for  removing 
the  feeling  of  helplessness  and  for  giving  the 
hand  greater  flexibility  and  skill.  German 
teachers  have  made  a  scientific  study  of  this 
question  and  state  that  left-handed  writing  can 
be  made  as  legible  and  characteristic  as  right- 
handed.  Samples  of  left-handed  writing  from 
Nurnberg  show  excellent  script  after  from  twelve 
to  twenty  lessons. 

Left-handed  drawing,  designing,  and  modelling 
are  often  added  as  a  matter  of  functional  re-edu- 
cation. Men  with  clerical  experience  are  taught 
to  use  the  typewriter,  sometimes  using  the 
stump,  sometimes  a  special  prosthesis,  and 
sometimes  with  a  shift  key  worked  with  the  knee. 
All  the  schools  put  great  emphasis  on  physical 
training.  In  the  school  at  Heidelberg,  under  a 
regular  gymnasium  instructor,  the  men  do 
almost  all  the  athletic  feats  possible  to  two- 
armed  men. 

Dr.    Kunssberg,    of    the    Heidelberg    school, 
states  that  he  has  made  a  list  of  one  hundred 


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17 


occupations  suitable  for  the  one-armed  man. 
He  gives  the  following  conclusions  drawn  from 
his  own  experience: 

1.  One-armed  men  are,  as  a  rule,  able  to  continue 
with  their  old  trade.  Of  those  at  Heidelberg,  only  five 
per  cent,  were  obliged  to  take  up  another. 

2.  The  best  opportunity  for  the  one-armed  man  is 
in  narrower  specialization  within  his  own  trade.  For 
example,  the  carpenter  can  take  up  polishing  and  wood 
inlay,  the  tailor  can  become  a  cutter,  etc. 

3.  The  most  important  point  is  for  employers  to  re- 
arrange their  work  so  as  to  reserve  for  one-armed  men 
the  places  they  are  able  to  fill. 

There  have  been  several  textbooks  written 
on  the  subject  of  the  one-armed  man  and  left- 
handed  writing.  The  best  known  are:  Von 
Kiinssberg,  Einarmfibel  (Braun,  Karlsruhe); 
Dahlmann,  Ube  deine  linke  Hand  (Essen);  Graf 
Gaza  Zichy,  Das  Buck  des  Einarmigen  (Deutsche 
Verlagsanstalt,  Stuttgart  and  Berlin,  1915). 

AGRICULTURAL  SCHOOLS 

A  special  efTort  is  being  made  to  return  to  the 
land  all  who  have  any  connection  with  it,  such 
as  farmers,  farm  laborers,  and  even  handworkers 
of  country  birth.  In  districts  like  East  Prussia, 
almost  all  the  wounded  come  from  country  dis- 
tricts, and  fifty  per  cent,  from  agricultural  occu- 
pations.^ It  is  felt  that  to  allow  these  men  to  be 
diverted  from  their  original  work  by  the  war, 
would  be  a  serious  loss  to  the  country.  There- 
fore, there  is  wide  publicity  on  the  advantages  of 
agricultural  life,  and  it  is  part  of  the  duty  of  the 
care  committees  to  encourage  interest  in  it 
among  the  wounded.  The  suggestion  has  even 
been  made  in  Bavaria,  that  cripples  from  the 
country  districts  should  be  separated  while  in 
hospital  from  the  city  men,  so  that  they  will  run 
no  danger  of  being  estranged  from  their  old 
interests.* 

All  the  hospitals  which  have  any  land  give 
courses  in  farming  and  gardening  for  their  in- 
mates.* It  is  estimated  that  there  are  several 
hundred  such  hospital  farms,  small  or  large,  run 
by  the  wounded.     In  addition  to  this,  there  are 

*  Der  Kriegsbeschadigte  in  der  Landwirtschaft.  KOnigs- 
berg  i.  Pr.,  1916,  p.  27. 

»  Zeitschrift  fiir  Kruppelfursorge,  Leipzig,  1916,  ix,  157-164. 
'  Zeilschrift  fiir  Kruppelfursorge,  Leipzig,  1917,  x,  235. 


definite  summer  farm  courses  at  agricultural 
schools  and  universities,  which  are  free  to  crip- 
ples. East  Prussia,  alone,  has  eight  such  special- 
ized courses  in  different  branches  of  farming, 
such  as  dairying,  bee-keeping,  forestry,  a  course 
for  farm  overseers,  etc'  There  are  in  the  empire 
ten  regular  agricultural  schools  for  war  cripples, 
which  are  listed  in  the  appendix.  The  largest 
appears  to  be  the  farm  at  Struveshof,  Berlin, 
which  accommodates  200  and  trains  cripples  as 
farm  teachers.  The  one  of  which  the  fullest 
description  is  obtainable  is  that  at  Kortau  in 
East  Prussia,  which  accommodates  at  present 
only  fifteen  pupils. 

The  farm  at  Kortau  is  under  military  disci- 
pline and  serves  as  part  of  the  reserve  hospital 
at  Allenstein,  two  kilometers  away.  All  patients 
at  Allenstein  who  come  from  agricultural  occu- 
pations are  immediately  transferred  to  Kortau, 
that  they  may  be  in  surroundings  which  will 
encourage  them  to  go  back  to  farm  work,  and 
that  they  may  have  orthopedic  exercises  and 
prostheses  specially  suited  to  them.  The  in- 
struction consists  of  two  courses — a  preliminary 
course  of  four  weeks,  and  an  advanced  course, 
the  duration  of  which  is  determined  by  the  man's 
physical  condition  and  the  time  of  his  discharge 
from  the  army.  Work  is  divided  into  three 
classes : 

1.  Work  done  primarily  with  the  hands  and  arms: 
digging,  shovelling,  wood-chopping,  sowing,  planting, 
mowing,  hoeing,  raking,  threshing,  and  the  care  of  the 
necessary  tools  for  these  occupations. 

2.  Work  where  horses  are  used :  plowing,  harrowing, 
driving,  and  the  operation  necessary  for  the  care  of 
horses — harnessing,  foddering,  etc. 

3.  Exercises  over  rough  ground  and  obstacles  for 
men  with  leg  injuries.' 

It  would  appear  that  the  instruction  is  of  the 
simple  type  useful  for  small  farms,  and  that  the 
matter  of  farm  machinery  and  its  adaptation 
to  the  war  cripple  had  not  been  gone  into.  The 
chief  need  is  to  fit  the  small  peasant  farmer  to 
go  back  to  his  own  holding,  where  he  may,  with 
the  help  of  his  wife  and  children,  manage  truck- 

'  Der  Kriegsbeschadigte  in  der  Landwirtschaft.  KOnigs- 
berg  i.  Pr.,  1916,  p.  12. 

»  Der  Kriegsbeschadigte  in  der  Landwirtschaft.  KOnigs- 
berg  i.  Pr.,  1916,  p.  27-41. 


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Series  i 


gardening  or  poultry-raising.  Most  of  the 
courses  serve  this  sort  of  purpose.  There  seem 
to  be  few  large  scale  farms  in  Germany,  and 
though  Maier-Bode,  in  his  article,  'Einrichtungen 
der  Kriegskriippelfiirsorge  fiir  die  Landwirt- 
schaft','  mentions  a  dozen  or  more  occupations 
possible  for  cripples  on  large  estates,  very  few 
of  these  have  anything  to  do  with  machinery. 
A  publication  issued  by  the  provincial  govern- 
ment of  East  Prussia '"  calls  attention  to  the 
possibility  of  the  use  of  electric  motors  by  peas- 
ant farmers,  but  limits  its  suggestions  to  small 
scale  operations.  Apparently,  the  schools  aim 
to  give  only  a  background  of  farming  theory 
and  a  certain  amount  of  efficiency  in  the  opera- 
tions performed  by  hand. 

To  this  smaller  field,  however,  a  great  deal  of 
inventive  thought  has  been  applied.  Teachers 
in  the  various  schools  have  been  very  ingenious 
in  contriving  tools  with  modified  handles  which 
can  be  gripped  with  a  prosthesis  or  a  stump, 
and  extra  straps  and  hooks  to  be  attached  to  the 
clothing  for  aid  in  balancing  tools.  Friederich 
Maier-Bode  in  his  book  gives  examples  of  ways 
in  which  cripples  of  every  kind  can  manage  all 
the  ordinary  operations  of  a  farm."  The  same 
author  strangely  urges  that  crippled  farm  work- 
ers shall  learn,  in  addition  to  farming  theory,  a 
handicraft  which  they  can  practise  at  home,  thus 
doubly  assuring  themselves  against  helplessness.^^ 

VI.    ATTITUDE  OF  THOSE  CONCERNED 
TOWARD  RE-EDUCATION 

TEACHERS 

The  teaching  in  all  schools  is  very  largely  vol- 
unteer. That  does  not  mean  that  it  is  unskilled, 
for  there  are  a  large  number  of  trade  and  other 
school  teachers,  craftsmen,  and  invalided  officers, 
who  are  willing  to  give  their  services.  The 
National  Teachers'  Association  has  passed  resolu- 
tions to  this  effect.  Where  the  committee  has 
funds  enough,  as  at  Diisseldorf,  a  staff  of  tech- 
nical teachers  is  paid.    At  other  places  only  one 

'  Zeitschrift  fiir  Kriippelf&rsorge,  Leipzig,  1916,  ix,  157-164. 

'■"  Der  Kriegsbeschadigte  in  der  Landwirtschaft.  Konigs- 
berg,  1916. 

"  Der  Arm-  und  BeinbeschSdigte  in  der  Landwirtschaft. 
Leipzig,  1917. 

'2  Zeitschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  157-164. 


or  two  are  paid  and  the  others  donate  their 
services  for  half  time.  Employers  often  donate 
the  services  of  a  foreman  for  half  the  day.  The 
War  Department  helps  by  assigning  invalided 
officers  and  non-commissioned  officers  who  hap- 
pen to  have  experience  in  some  particular  line, 
to  act  as  instructors  of  farming,  architecture, 
etc.  The  make-up  of  each  school  staff  is,  in  this 
way,  a  matter  of  chance  depending  on  the  funds 
of  the  committee,  the  suitable  volunteers  in  the 
locality  and  the  personnel  at  the  command  of 
the  local  military  commander. 

This  does  not  seem  to  make  for  as  much  lack 
of  system  and  training  as  is  usual  where  an  insti- 
tution relies  on  volunteers.  The  fact  that  the 
care  committees  and  the  volunteers  are  almost 
all  people  who  hold  public  positions,  and  the 
military  spirit  which  pervades  the  empire,  seem 
to  make  for  a  rigid  system  and  a  high  standard 
of  efficiency  in  the  schools.  The  esprit  de  corps, 
the  unanimity  of  the  workers  as  shown  in  every 
report,  is  striking. 

ATTITUDE  OF  MEN 

Reports  point  to  very  little  difficulty  met  with 
among  the  men.  This  is  due  to  the  fact  that 
they  are  partly  under  military  discipline  and  also 
to  the  very  early  beginning  of  schooling  before 
'pension  psychosis'  has  time  to  get  a  foothold. 
The  appeal  made  to  them  is  a  patriotic  one,  to 
the  effect  that  no  man  is  a  worthy  citizen  of  the 
Fatherland  who  has  not  the  will  to  overcome  his 
handicap.  Much  literature  has  been  published 
on  the  subject,  the  motto  being  'Der  Deutsche 
Wille  Siegt!'  (The  German  Will  Conquers!) 
One  gathers  also,  from  the  reports,  that  the  semi- 
official position  of  the  volunteer  teachers  and 
care  committee  members,  who  are  mostly  from 
the  official  and  the  educated  classes,  makes  the 
whole  system  more  or  less  a  class  matter  and 
causes  the  wounded  soldier  to  accept  the  plans 
of  his  superiors  without  question. 

ATTITUDE  OF  EMPLOYERS 

The  attitude  of  German  employers  has  always 
been  a  very  paternal  one.  The  large  firms  appear 
to  have  had,  for  some  time,  a  benevolent  policy 
toward  their  employees  and  have  furnished  them 
with  a  great  many  material  conveniences,  such 


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19 


as  baths,  rest  rooms,  model  dwellings,  etc. 
These  same  large  firms  have  been  among  the 
leaders  in  the  war  movement  and  have  made 
many  spectacular  donations  to  war  relief,  to  the 
widows  and  dependents  of  soldiers,  etc.  In  the 
matter  of  trade  training,  the  large  employers 
have  also  taken  a  prominent  place.  As  a  matter 
of  fact,  the  duty  of  helping  the  war  cripple  back 
to  civil  life  has  become  a  patriotic  issue  and  any 
employer  who  did  not  publicly  show  his  coopera- 
tion would  suffer  considerably.  Therefore,  most 
of  the  large  firms  can  be  counted  on  not  only  for 
donations  to  re-education  of  money,  apparatus, 
and  trade  teachers,  but  for  an  actual  share  in 
the  work  on  a  large  scale. 

Many  firms  have  made  experiments  toward 
re-training  their  own  crippled  employees.  The 
firm  of  Friedrich  Krupp,  at  Essen,  has  a  hospital 
on  its  own  grounds  to  which  its  former  employees 
are  transferred  from  the  military  reserve  hospital 
for  final  orthopedic  treatment.  While  at  this 
hospital,  they  work  as  many  hours  a  day  as  they 
are  able,  under  medical  supervision,  in  a  special 
shop  built  for  re-education  purposes.  They  re- 
ceive, while  working,  a  minimum  payment  of 
ten  marks  a  month,  and  anything  they  make 
which  can  be  used  is  paid  for  at  regular  piece- 
work rates.  When  their  training  is  complete, 
a  place  is  made  for  them  in  the  shop.  Cripples 
who  were  not  former  employees  are  also  trained 
whenever  there  is  room  for  them.^  The  Electric 
Accumulator  Works,  at  Oberschonweide,  Berlin, 
has  a  similar  hospital  and  shop.^  Most  others 
do  not  have  hospitals,  but  receive  men  while  at 
the  orthopedic  hospitals  for  training  in  their 
works,  which  thus  constitutes  a  re-education 
school.  These  firms  are:  Phoenix  Works,  Dus- 
seldorf;  Northwest  Group  of  the  Association  of 
German  Iron  and  Steel  Industries,  Diisseldorf; 
Siemens-Schiickert,  Siemenstadt,  Berlin;'  Emil 
Jagenberg,  Diisseldorf;  Rochlingen  Bros.,  Volk- 
ingen  a.  d.  Saar.*     In  all  these  cases,  the  men 

•  Zeitschrift  fur  Kriippelfiirsorge,  Leipzig,  1917,  x,  56-60. 

'  Verhandlungsbericht  iiber  die  Tagung  fur  Kriegsbeschddig- 
tenfiirsorge  in  Koln.  Berlin,  1917,  p.  113.  (Reichsausschuss 
der  Kriegsbeschadigtenfursorge.     Sonderschriften,  Heft  i.) 

'  Zeitschrift  fur  Kriippelfiirsorge,  Leipzig,  1917,  x,  291-299. 

•  Verhandlungsbericht  iiber  die  Tagung  fiir  Kriegsbeschadig- 
tenfursorge in  Koln.  Berlin,  1917,  p.  113.  (Reischsausschuss 
der  Kriegsbeschadigtenfursorge.     Sonderschriften,  Heft  i.) 


live  at  the  hospital  and  go  daily  to  the  shop, 
working  under  the  supervision  of  a  doctor  fur- 
nished by  the  employer.  In  the  case  of  Siemens- 
Schiickert,  the  military  authorities  place  an 
officer  in  the  factory  to  take  charge  of  discipline, 
though  this  is  not  always  done. 

Smaller  employers  help  in  different  places  by 
taking  men  as  apprentices  by  arrangement  with 
the  local  care  committee. 

INSURANCE  ASSOCIATIONS  — 

The  help  given  to  training  by  state  and  im- 
perial insurance  offices  must  be  counted  as  help 
given  by  employers  since,  under  the  law,  it  is 
they  who  furnish  most  of  the  funds  for  these 
institutions.  By  the  German  social  insurance 
laws,  employers  in  any  branch  of  industry  all 
over  the  empire  are  required  to  form  Berufsge- 
nossenschaften  (accident  insurance  associations), 
which  attend  to  the  payments  and  the  medical 
care  for  the  men  injured  in  that  industry  after 
the  first  thirteen  weeks  of  invalidity.  These 
Berufsgenossenschaften  have  large  funds  obtained 
by  taxation  of  members,  for  the  care  of  industrial 
cripples  and  the  prevention  of  invalidity.  They 
are  supervised  in  each  state  by  the  Landesver- 
sicherungsanstalt  (State  insurance  office)  and  in 
the  nation  as  a  whole  by  the  Reichsversicherungs- 
amt  (Imperial  insurance  office).  The  insurance 
officers  are  allowed,  by  the  law,  to  spend  their 
funds  not  only  for  the  care  of  individual  cases, 
but  for  any  general  measures  which  are  for  the 
health  of  the  community.  In  accordance  with 
this,  they  have,  in  different  states,  voted  large 
sums  for  orthopedic  hospitals,  for  re-education 
and  even  for  loans  to  cripples  and  for  land  settle- 
ment. Money  thus  contributed  by  the  state 
insurance  office  may  actually  be  considered  as 
money  contributed  by  employers. 

ATTITUDE  OF  WORKMEN 

The  attitude  of  the  workmen  toward  the  re- 
education of  cripples  is  not  so  unanimous  as  that 
of  the  employers.  This  will  be  taken  up  more 
fully  under  the  head  of  placement.  It  may  be 
generally  stated  that  the  attitude  of  the  handi- 
craft workers,  whose  standards  are  protected  by 
law  and  who,  therefore,  have  nothing  to  fear 
from  the  inroads  of  unskilled  labor,  is  cordial; 


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Series  i 


that  of  the  unions,  consisting  of  mostly  machine 
workers,  is  less  so. 

The  representatives  of  labor  who  have  given 
the  most  cooperation  to  the  re-education  of 
cripples  have  been  the  Chambers  of  Handwork. 
These  are  a  distinctly  German  institution,  in 
force  only  since  the  revision  of  the  Gewerbeord- 
nung  (the  industrial  code)  in  1897.  By  former 
provisions  of  the  industrial  code,  there  existed 
Chambers  of  Commerce  and  of  Industry  {Han- 
dels-  und  Gewerbekammern) .  They  were  elected 
bodies  from  among  the  merchants  and  the  indus- 
trial workers  of  a  locality  which  were  recognized 
by  the  state  government  and  acted  to  it  in  an 
advisory  capacity  wherever  the  interests  of  com- 
merce and  industry  were  concerned.  In  some 
districts,  the  Chambers  of  Commerce  and  Indus- 
try were  represented  by  a  single  body,  in  others, 
where  conditions  seemed  to  call  for  it,  by  two. 

This  left  the  smaller  industries,  where  a  man 
conducted  the  manufacture  and  sale  of  his  own 
goods,  unrepresented-  Most  of  these  small  in- 
dustries fall  under  the  head  of  handwork  and  the 
men  engaged  in  them  are  members  of  hand- 
workers' guilds. 

There  still  persist  in  Germany  Innungen  (handi- 
craft guilds)  which  are  lineal  descendants  of  the 
guilds  of  the  middle  ages.  They  are  possible  in 
any  trade,  such  as  brace  making,  butchery,  bak- 
ing, which  uses  only  simple  tools  worked  by 
hand  power  and  where  the  worker  sells  his  prod- 
uct straight  to  the  consumer.  There  is  no  set  line 
as  to  which  trades  have  guilds  and  which  have 
unions;  it  is  a  matter  of  chance  development, 
though  the  guilds  are  comparatively  few  in  num- 
ber and  unimportant  compared  to  the  unions. 
The  guilds  have  set  rules  for  membership;  they 
establish  a  standard  length  of  apprenticeship  and 
tests  for  the  successive  stages  of  journeyman  and 
master  workman.  A  man  who  passes  the  master 
workman's  test  sets  up  for  himself,  is  recognized 
by  the  guild  and  has  a  definite  standing  before 
the  public. 

With  the  spread  of  large  scale  industry,  these 
guild  regulations  were  suffering  and  it  was  feared 
that  some  useful  handicrafts  would  lapse. 
Therefore,  when  the  industrial  code  was  revised 
in  1897,  there  was  included  in  it  the  Handwerker- 
gesetz  (Handwork  Law),  which  established  the 


Handwerkskammern  (Chambers  of  Handwork). 
Their  members  are  chosen  from  among  the  handi- 
craft workers,  both  guild  members  and  union 
members,  and  their  function  is  principally  to 
regulate  apprenticeship  and  the  journeyman's 
and  master's  tests.  There  is  now  one  or  more  of 
these  chambers  in  every  state  and  Prussia  has 
thirty-three.  The  Handwerkskammern,  in  all 
parts  of  Germany,  have-  been  of  great  help  to 
the  re-education  schools,  and,  more  than  that, 
they  have  undertaken  an  active  propaganda  to 
urge  cripples  to  learn  a  handicraft  and  to  become 
master  workmen.  This  they  do  without  injury 
to  themselves,  since  the  amount  of  training  nec- 
essary for  the  master's  test  is  fixed  and  there  is 
no  danger  of  a  cripple  becoming  eligible  for  the 
guild  unless  he  is  perfectly  competent  to  main- 
tain its  standard.  Also,  handwork  is  dying  out 
and  it  would  be  of  advantage  to  the  guilds  to 
recruit  their  numbers.  Beside  this,  although 
some  master  workmen  take  work  as  foremen  in 
large  establishments,  most  of  them  set  up  for 
themselves  and  there  is  very  little  danger  of 
wage  reduction.  However,  the  Chambers  of 
Handwork  have  made  real  concessions.  At  Diis- 
seldorf,  Bochum,  Niirnberg,  Liibeck,  Hanover, 
and  in  Lower  Saxony,  they  have  modified  the 
master  test  so  that  its  requirements  will  not 
mean  the  usual  expense  and  physical  labor.  At 
Diisseldorf,  the  Chamber  has  ruled  that  time 
spent  in  the  cripple  school  shall  count  in  the 
necessary  time  of  apprenticeship.  The  Chamber 
of  Handwork  in  Prussian  Saxony,  in  cooperation 
with  the  provincial  care  committee,  has  estab- 
lished special  bureaus  of  vocational  advice  for 
handworkers.  Their  purpose  is  to  advise  a  man 
as  to  his  chances  for  becoming  a  master  work- 
man and  to  see  that  he  gets  to  the  proper  re-edu- 
cational school.  Spokesmen  for  the  handicraft 
workers  urge  that  the  crippled  worker  shall  be 
encouraged  to  settle  on  the  land  where  he  can 
combine  a  handicraft  with  raising  his  own  food. 

ATTITUDE  OF  UNIONS 

The  unions  have  not  come  out  so  strongly  in 
favor  of  re-education.  In  really  well-planned 
schools,  like  that  at  Diisseldorf,  there  is  a  union 
representative  on  the  care  committee  but  the 
complaint  is  often  that  the  care  is  a  class  affair 


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21 


and  that  labor  is  not  represented  nor  consulted 
in  the  re-education  plans.  This  comes  out  more 
strongly  when  it  is  actual  placement  rather  than 
training  which  is  being  considered. 

VII.   VOCATIONAL  ADVICE 

COOPERATING  MILITARY  AND  VOLUNTEER 
AGENCIES 

Vocational  advice  is  the  first  of  the  civilian 
functions  in  the  care  of  the  war  cripple.  There 
has  been  such  wide  publicity  that  every  care 
committee  understands  that  its  duty  in  urging 
the  cripple  to  a  trade  begins  as  soon  as  the  man 
is  well  enough  to  be  visited  in  hospital.  This 
demands  a  certain  amount  of  cooperation  with 
the  local  military  authorities  who  censor  the 
visits  made  to  the  men.  The  usual  arrangement 
is  that  certain  men  should  be  appointed  by  the 
care  committee  to  serve  in  a  volunteer  capacity 
as  advisers  and  that  their  appointment  should 
be  sanctioned  by  the  local  military  command. 
These  men  make  regular  visits  to  the  hospitals 
and  take  the  names  and  the  necessary  informa- 
tion about  each  new  cripple  in  preparation  for 
advising  him  as  to  re-education.  Some  com- 
mittees have  blanks  worked  out  on  which  these 
facts  are  recorded.  (See  appendix.)  In  some 
places,  there  is  no  regular  visitor  but  the  hospital 
doctors  and  nurses  are  asked  to  fill  out  these 
blanks.  In  others,  the  committees  have  a  large 
sub-committee  consisting  of  experts  in  various 
trades  which  deal  with  the  whole  question  of 
vocational  advice. 

At  the  beginning,  with  such  a  large  body  of 
voluntary  workers  there  was  some  complaint 
that  many  of  the  advisers  did  not  possess  the 
necessary  experience.  At  present,  there  has  been 
a  good  deal  written  on  the  subject  and  the 
adviser's  work  has  been  well  defined,  so  that 
there  seems  an  improvement.  Also  schools  have 
been  opened  in  two  cities  to  furnish  them  with  a 
brief  course  of  training. 

As  a  matter  of  fact,  the  principle  is  fast  held 
to  that  a  man  must,  if  humanly  possible,  go  back 
to  his  old  trade,  or,  failing  that,  to  an  allied  one. 
This  narrows  the  scope  of  vocational  advice  and 
makes  it  rather  vocational  urging.  The  real 
requirement  would  seem  to  be  that  the  adviser 


shall  be  an  enthusiastic  and  reliable  person  who 
would  act  as  a  sort  of  publicity  agent  for  the 
school  and  convince  the  cripple  that  he  will  find 
through  it  the  means  of  getting  back  to  his  old 
work.  Vocational  advice,  though  in  point  of  time 
it  comes  before  re-education,  is  so  dependent  on 
the  re-education  possibilities  in  the  different 
localities,  that  the  description  of  it  here  can  best 
follow  that  of  re-education.  Vocational  advice 
is  almost  always  the  function  of  the  local  care 
committee.  The  general  rule  of  the  military 
authorities  is  to  send  a  man  for  his  final,  long, 
orthopedic  treatment  back  to  his  home  district 
and  the  committee  in  this  district  is,  therefore, 
better  acquainted  with  labor  conditions  and  with 
the  background  of  the  men. 

The  practice  of  the  committees  is  to  send  repre- 
sentatives to  the  men  in  hospital  as  soon  as  they 
are  well  enough  to  be  visited  to  get  full  facts  on 
their  experience  and  their  physical  condition 
and  then  advise  them  as  to  re-education  or 
immediate  work.  The  military  hospital  authori- 
ties demand  that  anyone  allowed  to  visit  the  men 
be  approved  by  the  local  military  commander. 
This  approval  is  sometimes  given  in  writing  and 
the  visitor  receives  a  regular  appointment,  at 
other  times  it  is  more  informal.  The  war  ofiice 
has,  however,  given  instructions  that  district 
commanders  shall  cooperate  as  much  as  possible. 
(Kriegserlass.) 

Vocational  advice  is  managed  with  more  or 
less  efficiency  according  to  the  locality.  In  some 
localities,  such  as  those  of  the  eighth  and  eigh- 
teenth army  corps,  the  committee  requests  the 
doctors  to  consult  with  the  men  in  hospital,  to 
fill  out  blanks  and  furnish  them  with  the  nec- 
essary advice.' 

In  others  there  is  a  special  sub-committee  of 
the  care  committee,  consisting  of  educators  and 
trade  experts,  which  visits  the  hospitals  in  a 
body  or  holds  sittings  there.  This  is  the  plan 
in  Freiberg,  Breslau,  Strasburg,  and  in  Grand 
Duchy  of  Hesse. ^  The  plan  most  often  followed 
is  that  of  having,  as  vocational  advisers,  indi- 
vidual men  with  knowledge  of  trade  conditions 

'  Zeitsckrift  fUr  Krilppelfilrsorge,  Leipzig,  1916,  ix,  98. 
Korrespondenz  fiir  Kriegswoldfakrtspflege,  Berlin,  1916,  ii,  141. 

» Zeitschrift  fur  Krilppelfilrsorge,  Leipzig,  191S,  viii,  45, 
267,  290. 


I 


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Series  i 


and  an  ability  to  win  the  cripples'  confidence. 
These  men  are,  as  a  rule,  volunteers  and  from 
the  upper  classes,  but  the  realization  is  growing 
that  they  must  have  special  qualifications  in 
order  to  be  efficient.  Short  courses  have  been 
opened  in  two  cities  for  men  who  wish  to  take 
up  this  service.  There  were,  in  January,  191 7, 
four  hundred  vocational  advisers  serving  in 
Berlin.  Individual  men  are  appointed  also  in 
the  whole  province  of  Brandenburg,^  in  West- 
phalia,* in  Bavaria,*  and  in  Baden,*  and  many 
places  in  Saxony.  Instructions  issued  to  the 
vocational  advisers  in  Leipzig  (Saxony)  by  the 
local  committee  read  as  follows: 

1.  It  is  the  task  of  the  vocational  advisers  to  seek  out 

such  soldiers  as  are  likely,  as  a  result  of  their 
wounds,  to  be  hindered  in  the  use  of  their  limbs 
and  to  advise  them. 

2.  The  vocational  advisers  will  be  informed  by  the 

committee  in  what  hospitals,  military  or  associate, 
such  visits  are  desired.  It  is  desirable,  when  visit- 
ing, to  get  in  touch  with  the  physician  in  charge 
or  the  head  nurse. 

3.  The  aim  which  the  vocational  advisers  should  hold 

before  them  is: 
a.  To  combat  the  discouragement  of  the  wounded 

men   by   showing   them   what   cripples   have 

already  been  able  to  do. 
h.  To  inform  themselves  as  to  the  cripple's  personal 

circumstances  and  his  trade  experience. 

c.  To  obtain  employment  for  the  soldier  with  his 

former  employer  or  at  least  in  his  former  trade. 

d.  To  arrange  for  the  cure  of  hindrances  to  move- 

ment of  the  limbs  resulting  from  wounds  by 
orthopedic  or  mecano-therapeutic  treatment. 

e.  To  arrange,  if  necessary,  for  the  education  of  the 

wounded  man  in  another  trade  which  is  suited 
to  him. 
/.  To  place  the  man  in  the  new  trade. 

4.  As  a  preparation  for  this  task,  the  vocational  ad- 

visers are  recomended 

a.  To  read  the  publications  issued  by  the  committee 
for  their  instruction. 

h.  To  visit  the  Home  for  Crippled  Children  in  Leip- 
zig. 

c.  To  visit  the  Zander  Institute  of  the  Leipzig  Local 
Sick  Benefit  Society. 

>  Zeitschrift  fiir  Krilppelfiirsorge,  Leipzig,  1915,  viii,  263. 
*  Zeitschrift  fiir  KriippelfUrsorge,  Leipzig,  191S,  viii,  103. 
'  Zeitschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  173. 
'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  24. 


d.  To  keep  in  constant  touch  with  the  members  and 
the  officers  of  the  Leipzig  Committee  for  the 
Care  of  War  Cripples.' 

VOCATIONAL   ADVICE    BY   MILITARY   DEPARTMENT 

The  war  department  has  recently  made  some 
efforts  to  deal  with  this  question,  which  was,  at 
first,  left  entirely  to  civilian  initiative.  Each 
reserve  battalion  has  now  a  Fiirsorgeabteilung 
(welfare  division)  whose  primary  duty  is  to 
assist  men  about  to  be  dismissed  in  the  settlement 
of  their  pensions.  In  some  commands,  this  de- 
partment is  very  active  and  takes  up  the  matter 
of  vocational  advice  or  even  placement  with  the 
men  under  its  authority.  Where  there  is  an 
active  care  committee,  the  welfare  department 
generally  turns  most  of  the  actual  case  work  over 
to  it,  but  in  small  places,  such  as  a  few  of  those 
in  East  Prussia,  the  welfare  department  is  very 
active.  The  war  department,  in  its  decree  of 
December  27,  1916,  says,  in  relation  to  these 
departments : 

In  order  to  avoid  confusion,  it  may  be  stated  that  the 
military  bureaus  for  vocational  advice  established  in 
certain  mihtary  districts  are  expected  to  work  toward  the 
same  goal  as  the  civilian  agencies  and  in  complete  coop- 
eration with  them.  It  is  recognized  that,  owing  to  their 
recent  growth,  these  bureaus  are  still  very  faulty;  they 
can  best  be  promoted  by  a  constant  exchange  of  opinion 
between  the  military  authority  and  the  central  care 
committee.* 

VIII.   PLACEMENT 

PLACEMENT  AGENCIES 

The  problem  of  placement  is  much  simplified 
by  the  German  creed  that  a  "man  must  go  back 
to  his  former  trade  and,  if  possible,  to  his  former 
position."  This  makes  placement  more  a  matter 
of  re-sorting  and  fitting  a  man  into  the  niche 
reserved  for  him  than  of  studying  possible  new 
combinations.  Although  the  creed  is  uniform, 
there  is  no  uniform  machinery  for  putting  it  into 
practice.  The  agencies  to  which  a  cripple  may 
turn  are  five: 

1.  The  care  committee. 

2.  The  public  employment  bureau. 

'  Zeitschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  97. 

■  Leitsatze  iiber  Berufsberatung  und  Berufsausbildung. 
Berlin,  1917,  p.  20.  (Reichsausschuss  der  Kriegsbeschadigten- 
fUrsorge.    Sonderschriften,  Heft  2.) 


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23 


3.  Government  service. 

4.  Employers'  and  workmen's  associations. 

5.  Miscellaneous  charitable  and  private  initiative. 

CARE  COMMITTEES 

The  care  committee,  though  the  least  definitely 
organized  for  placement  purposes,  is  generally 
the  agency  which  comes  first  in  question.    To 
the  care  committee  belongs  the  routine  duty  of 
making  connections  with  the  former  employer. 
Many  cases  are   settled    in   this   way  without 
further  difficulty.    The  agent  for  the  care  com- 
mittee is  the  vocational  adviser  who  interviews 
the  man  in  hospital.    Often  he  has  communicated 
with  the  employer  before  the  cripple  begins  his 
training  and   has  found  exactly  what  further 
education  is  advisable  for  that  particular  posi- 
tion.    All  committees  go  as  far  as  this  in  the 
matter  of  placement.     If  the  old  employer  is 
unable  to  make  a  place  for  the  man,  some  of  the 
committees  immediately  turn  him  over  to  an- 
other agency,  generally  the  public  employment 
bureau.     Other  committees,  with  more  funds 
and  a  wider  scope,  run  employment  bureaus  of 
their  own.     The  care  committee  of  the  Rhine 
province,  an  industrial  and  mining  locality,  has 
a  system  of  employment  bureaus  all  over  the 
province,  affiliated  with  the  local  care  commit- 
tees.   The  committee  of  the  Province  of  Silesia 
has  one  employment  bureau  which  serves  the 
whole  province.     In  other  cases,  the  care  com- 
mittees do  not  have  separate  offices  for  employ- 
ment, but  attend  to  it  from  the  regular  care 
committee   office   for   the   district,   along  with 
vocational  advice,   pension   information,  relief, 
etc.    As  an  example  of  a  care  committee  employ- 
ment bureau,  that  of  Heilbronn  in  Wurtemberg 
may  be  cited.    This  committee,  from  November, 
1915,  to  March,  1917,  had  656  applications,  out 
of  which  246  men  were  placed.'    The  Dortmund 
committee,  in  Westphalia,  had  592  applications 
and  placed  165,  while  seventeen  got  places  for 
themselves  after  training  provided  by  the  com- 
mittee.^   Even  when  the  care  committees  do  not 
place  men,  a  good  many  duties  devolve  on  them 
in  connection  with  employment,  because  many 

^  Zeilschrift  fur  Kruppelfursorge.  Leipzig,  1917,  x,  126. 
»  Korrespondenz  fiir  Kriegswohlfahrtspflege,  Berlin,  1916,  ii, 
35.'). 


public  works  or  government  offices  will  not  take 
on  a  new  man  until  his  local  care  committee  has 
certified  that  he  is  unfit  for  his  old  work.  This 
means  giving  a  great  deal  of  responsibility  to  the 
care  committee.  In  places  which  have  a  repre- 
sentative and  efficient  committee,  it  is  a  good 
plan,  but  in  small  places  where  the  committee  is 
represented  only  by  one  man,  there  is  room  for 
favoritism  and  unfairness.  Complaints  in  the 
papers  have  stated  that  the  decisions  are  influ- 
enced by  class  prejudice  and  have  made  this  a 
reason  for  asking  that  the  whole  cripple  care 
system  be  put  under  government  control. 

PUBLIC  BUREAUS 

Germany  has  a  regular  system  of  public  em- 
ployment bureaus  supported  by  the  municipali- 
ties. The  bureaus  in  each  state  or  province  are 
united  under  a  state  or  provincial  directorate, 
and  the  directorates  in  an  imperial  federation. 
Some  of  these  bureaus  had,  before  the  war,  spe- 
cial divisions  for  the  handicapped  and  others  are 
now  forming  them.  It  is  advised  by  the  Imperial 
Committee  for  the  Care  of  War  Cripples  that  the 
whole  matter  of  placement  should  be  left  to 
these  public  bureaus  and  that  no  new  agencies 
should  be  established.'  This  has  not  yet  been 
done,  however,  and  there  is  still  argument  as  to 
whether  cripples  are  best  placed  by  the  public 
bureau  or  a  private  one  and  whether  their  place- 
ment should  be  handled  separately  from  that 
of  the  able-bodied. 

In  a  numer  of  the  states,  the  public  bureaus 
are  handling  the  placement  of  war  cripples, 
handed  over  to  them  by  the  care  committees 
after  placement  with  the  old  employer  has  been 
found  impossible.  These  states  are:  Bavaria, 
Brandenburg,  Grand  Duchy  of  Hesse,  Hesse 
Nassau,  Baden,  Saxony  and  Anhalt.  In  Bavaria, 
where  the  whole  work  for  cripples  is  under  the 
state  government,  each  district  has  a  special 
bureau  for  cripples,  affiliated  with  the  public 
employment  bureau.  The  other  states  and 
provinces  handle  the  work  through  the  regular 
employment  bureau,  which  keeps  a  special  de- 
partment, or  at  least  a  list  of  positions,  for  war 
cripples. 

'  Verhandlungsbericht  ilber  die  Tagung  filr  Kriegsbeschddig- 
lenfilrsorge  in  Koln.  Berlin,  1917.  (Reichsauschuss  der 
KriegsbeschadigtenfUrsorge.    Sonderschriften,  Heft  I.) 


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Series  i 


PUBLIC  BUREAU  REPORT 

The  report  of  the  public  employment  bureau 
of  Berlin,  Province  of  Brandenburg,  which  has 
a  special  division  for  cripples,  is  as  follows: 

August  I,  igis,  to  December  i,  jqi6 
Applications  received  .  .  2,700 
Positions  available  .  .  .  2,000 
Positions  filled 1,400 

Of  these  1,400,  730  were  followed  up  after 
they  went  to  work,  and  the  report  is  not  so  en- 
couraging. One  hundred  and  forty-five  changed 
their  position  eight  times  before  the  time  came 
for  discharge  or  renewal  of  contract;  forty-five 
stayed  one  week;  twenty-nine  stayed  two  weeks; 
twenty-seven,  three  weeks;  twenty- two,  four 
weeks;  forty- two,  over  a  month;  twenty- two, 
two  months;  and  thirty-five,  three  months. 
{Norddeutsche  Allegemeine  Zeitung,  February  3, 
19170 

Work  is  done  here  and  there  by  individual 
bureaus  in  states  and  provinces  which  have  not 
taken  over  the  work  as  a  whole.  In  East  Prussia, 
an  agricultural  district,  the  provincial  govern- 
ment has  established  a  farm  employment  bureau 
at  Konigsberg.  In  Strasburg,  Alsace,  the  mu- 
nicipal bureau  takes  care  of  cripples  and  has  an 
arrangement  with  the  Fifteenth  Army  Corps 
commandant  by  which  they  can  be  employed  in 
the  military  clothing  workshops. 

GOVERNMENT  SERVICE 

The  Imperial  Government  has,  of  course,  an 
enormous  number  of  positions  at  its  disposal, 
since  the  railways,  as  well  as  all  the  post  office 
and  civil  service  positions  are  included.  The  gov- 
ernment has  already  promised  that  all  former 
employees  in  any  of  these  lines  will  be  re-em- 
ployed, if  not  in  their  old  capacity,  in  a  kindred 
one.  These  men,  according  to  instructions  from 
the  Imperial  Chancellor,  are  to  be  paid  without 
consideration  of  their  pensions.  This  is  a  new 
departure,  since  government  pay,  in  civil  service 
positions,  was  always  subtracted  from  the 
amount  of  the  pension.^  The  promise,  however, 
decidedly  reduces  the  number  of  possibilities  for 
the  ordinary  cripple. 

*  Korrespondenz  fur  Kriegswohlfahrtspflege,  Berlin,  1916,  ii, 
157- 


The  post  office  department  has  decided  to 
give  all  future  agencies  and  sub-agencies  in  the 
rural  districts  to  war  cripples,  provided  they  are 
fit  for  the  positions  and  want  to  settle  on  the 
land. 

Germany  has  the  difficulty  found  in  other 
countries  with  untrained  men  who  feel  them- 
selves entitled  to  government  positions,  and  she 
has  taken  measures  to  guard  against  it.  The 
Imperial  Post  Office  has  directed  the  postal 
officials  in  all  the  states  to  follow  the  example 
set  in  the  Rhine  Province  and  refuse  employ- 
ment to  war  cripples  unless  it  is  certified  by  their 
local  care  committee  that  they  are  unfit  to  go 
back  to  their  old  occupation.  In  minor  civil 
service  posts,  no  new  man  is  accepted  without  a 
certificate,  either  a  Zivilversorgungsschein  (civil- 
ian care  certificate)  or  an  Anstellungsschein  (place- 
ment certificate).  The  Zivilversorgungsschein 
guarantees  a  man  employment  or  support  in 
case  no  position  is  vacant.  It  is  issued  only  to 
men  who  have  had  twelve  years'  honorable  ser- 
vice.^ The  Anstellungsschein  is  given  to  other 
non-commissioned  officers  or  privates  who  are 
certified  by  their  local  care  committee  as  being 
unable  to  take  other  work  but  it  does  not  guar- 
antee that  they  will  be  accepted  and,  if  not,  they 
have  no  indemnity  payment.' 

CITY  GOVERNMENTS 

The  city  and  other  local  governments  also 
make  every  effort  to  take  in  cripples,  but  their 
possibilities  are  small.  In  many  places,  such  as 
Freiberg,  they  exercise  an  indirect  influence  by 
refusing  to  give  city  contracts  to  firms  which  do 
not  re-employ  their  own  injured  workmen,  or 
even  new  crippled  men  for  whom  they  have 
room.'  In  Niirnberg,  a  foreman  is  not  allowed 
to  discharge  a  war  cripple  without  bringing  the 
case  before  a  committee  of  the  city,  appointed 
to  see  that  justice  is  done  in  such  cases.'  In 
general,  the  city  governments  also  are  obliged 

^  Korrespondenz  fiir  Kriegsitiohlfahrtspflege,  Berlin,  1916,  ii, 
89. 


89. 


'  Korrespondenz  fUr  Kriegswohlfahrtspflege,  Berlin,  1916,  ii, 

'  Korrespondenz  far  Kriegswohlfahrtspflege,  Berlin,  1916,  ii, 
124. 

»  Verhandlungsbericht  ilber  die  Tagung  filr  Kriegsbeschddig- 
tenfiirsorge  in  Koln.  Berlin,  1917.  p.  178.  (Reichsausschuss  der 
Kriegsbeschadigtenfiirsorge.  ISonderschriften,  Heft  i.) 


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to  protect  themselves.  Most  of  them  will  not 
consider  an  application  for  work  from  a  war 
cripple  unless  the  care  committee  certifies  that 
he  cannot  resume  his  old  trade. 


mittees  and  government  officials  all  over  the 
country.  The  Prussian  War  Ministry  publishes 
a  similar  bulletin,  Anstellungsnachrichten  (Em- 
ployment News). 


WAR  DEPARTMENT 

Aside  from  these  regular  government  employ- 
ments, there  are  special  employments  due  to  the 
war  and  under  the  war  department.  The  army 
workshops  at  Coblenz'  and  Kassel '"  employ  dis- 
charged crippled  soldiers  to  work  on  shoes, 
clothing  and  saddlery.  At  Danzig,  unskilled 
men  are  taken  and  given  regular  training  as  at  a 
re-education  school.  It  has  been  recommended 
that  the  other  army  corps  commanders  adopt 
this  plan  and  employ  only  war  cripples  in  the 
workshops  under  their  command. 

A  military  announcement  of  March  17,  1917, 
asks  that  all  crippled  soldiers  should  be  turned, 
as  much  as  possible,  to  civilian  work  at  the  rear, 
such  as  that  of  airplane  mechanics,  blacksmiths, 
etc.  The  men  formerly  employed  in  these  capac- 
ities were  retained  under  army  discipline  and 
given  army  pay,  which  is  much  less  than  civilian 
pay.  The  war  office  now  promises  that  they  will 
be  retained  in  a  civilian  capacity  and  will  retain 
their  pensions. '^  It  also  promises  that,  after  the 
war,  every  effort  will  be  made  to  get  these  men 
back  to  permanent  civilian  positions. 

The  war  department  has  recently  established 
a  Versorgungsabteilung  (welfare  department)  in 
every  reserve  troop  where  invalided  men  are  sent 
while  awaiting  discharge.  This  department  is 
supposed  to  facilitate  their  return  to  civil  life 
through  advice  about  re-education  or  employ- 
ment. In  cases  where  there  is  no  very  active 
local  care  committee,  this  department  communi- 
cates with  the  former  employer  and  even  at- 
tempts some  placement  activity,  but  the  plan 
is  so  new  that  not  much  is  reported  of  it  so  far. 

The  war  office  publishes  twice  a  week  a  jour- 
nal, Amtliche  Milleilungen  (official  information), 
which  gives  the  positions  open  for  war  cripples. 
All  advertisements  from  employers  are  accepted 
free  and  the  paper  is  distributed  to  care  com- 

*  Zeilschrift  fur  KrUppelfUrsorge,  Leipzig,  1916,  ix,  332. 
"  Korrespondenz  fiir  Kriegswoklfahrlpflege,  Berlin,  1915,  i, 
170. 

"  Zeitschrift  fUr  KrUppelfUrsorge,  Leipzig,  1917,  x,  125. 


IX.  ATTITUDE  OF  THOSE  CONCERNED 
TOWARD  PLACEMENT 

ATTITUDE  OF  EMPLOYER 

One  of  the  most  active  agencies  in  placement 
is  the  employing  class.  As  has  already  been  men- 
tioned, the  re-employing  of  crippled  workmen 
has  been  made  such  a  patriotic  issue  and  Cham- 
bers of  Commerce,  city  governments  and  news- 
papers espouse  it  so  violently,  that  no  employer 
who  could  possibly  make  a  place  for  his  crippled 
workmen  would  dare  refuse  to  do  so.  Many  of 
the  largest  firms,  such  as  Krupp  and  Siemens- 
Schuckert  not  only  re-employ  their  former  work- 
men, but  retrain  them.  Krupp  guarantees  them 
the  full  amount  of  their  pension  for  five  years, 
even  though  the  government  should  reduce  it 
on  account  of  increased  earning  capacity. 

The  large  employers'  organizations  have  also 
put  themselves  on  record  in  favor  of  re-employ- 
ing cripples.  Such  are  the  Nordwestliche  Gruppe 
des  Vereins  deutscher  Eisen-  und  Stahl-Industri- 
eller;  the  Verein  fur  berghauliche  Interessen;  the 
Gesamtverband  deutscher  Metallindustrieller;  the 
Verband  deutscher  Steindruckereibesitzer;  the 
Deutscher  Arbeitgeberverband  ftir  das  Baugewerbe; 
and  the  Bayerischer  Industriellerverband} 

There  has  recently  been  formed  a  national 
association,  the  Vereinigung  deutscher  Arbeit- 
gebeverbdnde  (Union  of  German  Employers' 
Associations),  whose  aim  is  to  promote  the  em- 
ployment of  cripples.  This  is  a  federation  of 
seventy-five  different  trade  associations,  employ- 
ing between  them  two  and  a  half  million  work- 
men. This  association  puts  placards  in  all  the 
hospitals,  stating  its  willingness  to  employ  war 
cripples  and  directing  them  to  apply  for  work  to 
the  associations  belonging  to  it.^  The  names  of 
these  associations  representing  principally  the 
metal-working  trades  are  listed  in  the  appendix. 

The  federation  states,  as  its  belief,  that  the 
reinstatement  of  crippled  workmen  is  a  matter 

'  Zeitschrift  fur  KrUppelfUrsorge,  Leipzig,  1916,  ix,  243. 
'KorrespondenzfUr  Kriegswohlfahrtspjlege,  Berlin,  I9i5,i,is. 


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Series  i 


which  concerns  the  employer  alone  and  it  does 
not  consult  the  unions  in  any  of  its  measures.' 

These  are  general  measures,  but  there  are 
smaller  associations  which  take  much  more 
definite  ones.  Many  trades  have  employment 
bureaus  of  their  own  where  any  workman  for- 
merly employed  in  that  trade  may  apply  and 
be  reinstated  if  not  with  his  old  employer,  with 
another  in  the  same  line.  Such  bureaus  are  run 
by  the  Verband  deutscher  Diplom-Ingenieure, 
Deutsche  Kraftfahrerdank,  Offenbacher  Leder- 
warenindustrie*  and  the  very  large  steel  combin- 
ation, Rhein-Westfalische  Industrie  and  Nord- 
westUche  Gruppe  des  Vereins  deutscher  Eisen- 
und  Stahl-Induslrieller.  The  former  of  these 
last  two  placed  to  June,  1916,  5,002  war  cripples; 
the  latter,  to  the  same  date,  2,200.^ 

The  merchants  have  not  taken  such  a  promi- 
nent stand  as  the  manufacturers  but  their  rep- 
resentatives have  also  expressed  themselves  pub- 
licly in  favor  of  reinstating  all  crippled  employ- 
ees. The  problem  here  is  not  so  much  the 
objection  to  crippled  former  employees  as  to 
the  inrush  of  new,  uneducated  employees.  Mer- 
chants are  very  definite  in  warning  against  this 
and  insisting  that  war  cripples  must  have  a 
thorough  commercial  course  before  they  can 
apply  for  any  sort  of  clerkship.*  To  this  end, 
the  Prussian  Chamber  of  Commerce  has  directed 
the  commercial  schools  to  work  closely  with 
the  care  committees,  so  that  their  courses  can 
be  made  of  real  use. 

ATTITUDE  OF  WORKMEN 

The  attitude  of  the  workmen  toward  the  re- 
employment of  cripples  has  not  been  cordial. 
Here  again,  we  may  distinguish  between  the 
handworkers  proper  and  the  industrial  workers. 
The  master  guilds  among  the  handworkers  have 
held  out  every  encouragement  to  cripples  to  set 
up  for  themselves  as  independent  master  work- 
ers.    An  association  has  been  formed  to  lend 

» Zeitschrifl  fiir  Kruppelfilrsorge,  Leipzig,  1916,  ix,  244. 

*  Zeiischrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  46. 

^  Korrespondenz  fur  Kriegswohlfahrlspfiege,  Berlin,  191 7,  iii, 

33. 

Verhandlungsbericht  iiber  die  Tagung  fiir  Kriegsbeschadiglenfiir- 
sorge  in  Koln.  Berlin,  1917,  p.  114.  (Reichsausschuss  der 
KriegsbeschadigtenfUrsorge.     Sonderschriften,  Heft  i.) 

•  Zeitschrifl  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  595. 


money  to  returned  handworkers  and  to  their 
wives  while  they  are  away,  so  that  the  small 
business  may  be  kept  up.  There  is  a  committee 
in  Wilmersdorf,  Berlin,  for  the  care  of  returning 
handworkers  and  small  shopkeepers  and  there 
are  other  such  committees  in  the  Rhine  Province. 
The  Handwerkskammern  in  Prussian  Saxony  and 
Hanover  have  agreed  to  try  to  find  work  for 
crippled  handworkers.  All  this  is  for  the  advan- 
tage of  the  handworkers,  since  their  craft  is  in 
danger  of  dying  out  and  they  are  glad  to 
strengthen  it  by  new  recruits  and  public  interest. 
They  combine  their  friendly  efforts  with  propa- 
ganda for  keeping  up  the  standard  of  the  master 
test. 

The  unions  find  themselves  in  a  different  posi- 
tion. There  are  three  different  types  of  union  in 
Germany  and  they  will  have  to  be  distinguished, 
since  they  do  not  all  take  the  same  attitude: 
(i)  The  Hirsch  Duncker  unions  are  the  old  con- 
servative organizations  composed  of  skilled 
workmen.  They  have  no  poHtical  affiliations 
and  seldom  strike.  (2)  The  Christian  unions  are 
Catholic  organizations  in  the  nature  of  benevo- 
lent societies,  who  also  have  very  little  political 
interest.  They  are  very  systematically  organized 
and  maintain  advice  offices  for  members  all  over 
the  country.  (3)  The  socialist  unions  are  of 
two  sorts,  the  free  local  unions  and  the  free  cen- 
tral unions.  These  latter  are  the  newest  and 
are  more  akin  to  syndicalist  organizations  (known 
popularly  as  the  'yellow'  unions). 

The  attitude  of  the  Hirsch  Duncker  union  is 
friendly,  if  not  over  cordial.  The  Christian 
unions  are  active  in  favor  of  placement  of  crip- 
ples. Their  union  advice  offices  combine  help 
for  war  cripples  with  the  regular  work ;  they  have 
erected  schools  for  the  re-education  of  their  own 
men  and  others;  they  accord  their  wounded 
members  full  sick  pay  and  they  have  subscribed 
largely  to  all  war  relief  work.^  The  federation  of 
Christian  unions  has  established  an  employment 
bureau  in  Berlin  for  reinstating  their  own  mem- 
bers in  industry.* 

The  socialist  unions  are  the  ones  which  have 
shown  the  least  sympathy.  The  situation  is  such 

'  Korrespondenz  fUr  Kriegswohlfahrispfiege,  Berlin,  1916,  ii, 
22. 

'  Zeitschrifl  far  Kriippelfiirsorge,  Leipzig,  1916,  ix,  351. 


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that  any  open  expression  of  hostility  would  lay 
the  objector  open  to  charges  of  lack  of  patriot- 
ism. The  socialist  unions,  therefore,  protest 
their  interest  in  their  fellow  workmen,  but  they 
object  to  the  volunteer  organization  of  the  work 
which,  in  their  opinion,  makes  it  a  class  matter. 
Their  representatives  have  demanded  in  the 
Reichstag  that  it  be  handed  over  to  the  Imperial 
Government,  but  without  result.  At  a  meeting 
at  Cologne,  held  August,  1916,  at  which  all  types 
of  union,  except  the  yellow,  were  represented, 
the  following  resolution  was  passed: 

The  workers  and  employees  of  Germany  take  the 
liveliest  interest  in  sick  and  crippled  soldiers  and  have 
always  taken  part  in  war  cripple  welfare  work,  especially 
that  of  the  National  Committee. 

The  work  for  war  cripples,  which  will  be  of  the 
greatest  economic  importance,  especially  after  the  close 
of  the  war,  must,  first  of  all,  have  the  confidence  of  its 
beneficiaries  if  it  is  to  be  effective.  This  confidence  can 
only  be  won  if  the  proper  conduct  of  the  work  is  guar- 
anteed by  an  organization  established  by  law.  Since 
the  cripple  welfare  work  is  still  without  such  an  organi- 
zation, the  representatives  of  the  workmen's  and  em- 
ployees' organizations  of  Germany,  assembled  in 
Cologne,  August  23  to  25,  demand  its  regulation  by 
national  law.' 

A  meeting  of  the  workmen's  and  employees' 
unions  of  Brandenburg  came  to  the  same  con- 
clusions.    {Vorwdrts,  April  12,  1917.) 

There  is  also  complaint  that  the  workmen's 
representatives  are  not  asked  to  serve  on  local 
care  committees,  or  when  they  are  asked  that 
they  have  no  active  part  in  the  work.  The 
'yellow  unions'  have  been  loudest  in  these  objec- 
tions, and  it  is  obvious  that  there  is  a  distinct 
attitude  of  hostility  between  them  and  the  em- 
ployers in  the  whole  matter.  At  the  meeting  of 
the  National  Committee  in  Cologne,  Herr 
Mijnchrath,  factory  superintendent,  stated: 

If  employers  and  workmen  are  to  be  active  in  such 
care  committees,  they  must  be  inspired  by  mutual  con- 
fidence. But  confidence  between  employers  and  the 
members  of  the  aggressive  type  of  unions  has  so  far 
vanished  that  there  can  be  no  further  talk  of  it.'" 

'  Verhandlungsbericht  Uber  die  Tagung  fiir  Kriegsbeschddig- 
tenfursorge  in  Kbln.  Berlin,  191 7,  p.  122.  (Reichsausschuss 
der  KriegsbeschadigtenfUrsorge.    Sonderschriften,  Heft  1.) 

"  Verhandlungsbericht  iiber  die  Tagung  fiir  Kriegsbeschadig- 
tenfUrsorge in  Kbln.  Berlin,  1917,  p.  129.  (Reichsausschuss 
der  KriegsbeschadigtenfUrsorge.     Sonderschriften,  Heft  I.) 


ARBITRATION  BOARDS 

There  has  been  no  open  discussion  of  the  possi- 
bility that  wage  standards  will  be  reduced  by 
the  entry  of  cripples  into  industry.  The  assump- 
tion has  been  that  this  will  not  occur  and  the 
contrary  has  not  been  proved.  In  this  matter, 
however,  the  unions  have  made  a  very  sage 
move.  Instead  of  protesting  about  the  employ- 
ment of  cripples,  they  have  championed  the 
establishment  of  Arbeitsgemeinschaften  arbitra- 
tion boards  in  each  trade  which  shall  decide  on 
the  wages  of  each  cripple  on  his  individual  merits. 

These  boards  are  to  be  composed  of  equal 
numbers  of  employers  and  workmen,  sometimes 
with  a  neutral  president.  The  unions  have  been 
striving  to  get  such  arrangement  as  this  for  other 
purposes  for  a  long  time.  At  present,  it  would 
seem  from  their  attitude  that  they  consider  it 
the  best  policy  to  push  the  formation  of  arbitra- 
tion boards  and  to  strive  to  make  them  perma- 
nent after  the  war.  It  would  seem  likely  that 
their  campaign  to  be  represented  on  local  care 
committees  may  be  in  part  a  political  move 
toward  this  end. 

The  arbitration  board  idea  has  been  very  suc- 
cessful in  Berlin,  where  there  are  boards  in  the 
following  industries:  woodworking,  breweries, 
stone  masonry,  building  trades,  saddlery  and 
leather  work,  transporting,  coal  dealing,  express 
companies,  textile  work.''  The  woodworkers 
and  printers  ^^  have  organized  arbitration  boards 
on  a  national  scale.'^  Also  the  war  office  has 
constituted  such  boards  in  war  industries  such 
as  metal  work.  This  is  a  trade  where  there  was 
formerly  no  cooperation  at  all  between  employ- 
ers and  employees. 

The  arbitration  board  idea  has  a  certain 
amount  of  public  approval.  In  a  few  towns, 
public  contracts  are  not  given  to  firms  which  do 
not  abide  by  their  decisions. 

ATTITUDE  OF  CRIPPLES  TO  EMPLOYMENT 

There  are  no  statistics  to  show  to  what  extent 
the  ideal  of  the  volunteer  workers  is  realized 

"  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  244, 
191 5,  viii,  289.  Korrespondenz  fiir  Kriegswohlfahrtspjlege, 
Berlin,  1916,  ii,  54. 

"  Liibecker  Lazaretl  Zeitung,  1916,  ii,  5. 

"  Korrespondenz  fiir  Kriegswohlfahrtspjlege,  Berlin,  1916,  ii, 
III. 


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and  the  cripple  is  reabsorbed  into  the  mass  of 
the  people.  Dr.  Biesalski  states  that  from 
ninety  per  cent,  to  ninety-five  per  cent,  are  thus 
reabsorbed.  The  general  statement  is  made  by 
most  writers,  that  the  difficulty  of  getting  crip- 
ples settled  in  work  is  lessening  very  much,  owing 
to  the  wide  publicity  employed  and  the  syste- 
matic way  in  which  the  care  committees  get  hold 
of  the  men.  Figures  from  the  provincial  care 
committee  of  the  Rhine  Province,  for  June, 
191 7i  give  the  proportion  of  cripples  who  go 
back  to  work  as  follows:  "The  total  number  of 
unemployed  cripples  dealt  with  by  the  43  local 
care  committees  under  the  provincial  committee 
was  927.  Of  these,  there  were:  willing  to  work, 
209;  work  shy,  92;  temporarily  unfit  to  work, 
395;  permanently  unfit,  231  {Pensions  Gazette, 
8)."    (Quoted  from  Soziale  Praxis.) 

The  report  of  the  Rhine  committee  further 
gives  the  reasons  for  unemployment:  "nervous 
disability,  20.5  per  cent. ;  tubercular,  two-thirds 
per  cent.;  blind,  1.8  per  cent.;  arm  amputa- 
tions, 3  per  cent."  The  majority  of  unemployed 
who  are  willing  to  work  are  disabled  in  arm  or 
leg. 

As  to  the  proportion  of  cripples  going  back  to 
their  old  trade,  an  indication  may  be  had  from 
the  statistics  published  by  the  committees  of 
Coblenz  and  the  agricultural  advice  office  at 
Baden.  Of  the  454  applicants  for  work  at 
Coblenz  in  two  months,  the  percentage  going 
back  to  their  old  trade  was  89  per  cent.,  although 
only  42  per  cent,  had  so  intended.  At  Baden, 
out  of  204  applicants,  188  went  back  to  their 
former  trade,  although  only  95  had  so  intended. 

MACHINES  FOR  CRIPPLES 

A  subject  which  may  be  taken  up  under  place- 
ment is  that  of  the  alteration  of  machines  to 
suit  the  use  of  cripples. 

This  appears  not  to  have  been  gone  into  very 
widely.  Some  of  the  schools  use  an  Underwood 
typewriter  with  shift  key  worked  with  the  knee, 
and  these  are  installed  in  some  business  offices 
which  employ  cripples.  In  Strasburg,  the 
ticket  chopping  machines  are  altered  so  as  to  be 
worked  with  the  foot  and  permit  their  use  by 
one-armed  ticket  choppers.  There  are  descrip- 
tions of  a  bicycle   for  cripples  and  a  special 


draughting  board  but  it  is  not  stated  that  these 
have  ever  been  used. 

The  field  where  the  most  work  has  been  done 
is  that  of  farm  tools.  Friederich  Maier-Bode, 
in  his  book,  Der  Arm-  und  Beinbeschddigte  in  der 
Landwirtschaft,  and  the  East  Prussian  Care' 
Committee,  in  its  publication,  Der  Kriegsbe- 
schddigte  in  der  Landwirtschaft,  give  long  lists 
of  simple  farm  tools  which  can  be  altered  as  to 
length  of  handle  or  general  shape  so  as  to  be 
used  for  cripples.  The  idea  of  using  electric 
power  for  some  of  these  simple  operations  is 
only  beginning  to  gain  place.  Since  the  war  has 
made  fuel  and  kerosene  so  scarce,  the  small 
towns  and  country  districts  are  beginning  to 
install  electricity.  The  Province  of  East  Prussia 
is  installing  power  plants  in  several  places  from 
which  all  the  small  farms  in  the  district  can  be 
supplied.  The  committee  recommends  to  peas- 
ant farmers  the  use  of  small  electric  motors  for 
milking,  milk  separating,  threshing,  beet  crush- 
ing, lifting  heavy  weights,  etc.  It  states  that 
on  a  few  very  large  estates  it  is  possible  to  use 
electric  plows  and  harvesters  and  recommends 
that  cripples  try  to  get  employment  in  connec- 
tion with  these.  It  also  recommends  the  electric 
motor  to  handicraft  workers,  such  as  butchers, 
locksmiths,  wheelwrights,  etc." 

In  order  to  avoid  exploitation  of  cripples,  a 
proclamation  has  been  issued  addressed  to  them 
and  signed  by  most  of  the  large  workmen's 
organizations.  It  directs  the  cripples,  if  they 
find  unjust  conditions  in  the  labor  field,  to  apply 
to  the  signers  for  redress  or  placement. 

ACCIDENT  INSURANCE 

Another  question  which  comes  up  in  connec- 
tion with  employment  is  that  of  accident  insur- 
ance. The  matter  of  increased  number  of  indus- 
trial accidents  likely  to  occur  where  cripples  are 
employed  came  up  for  discussion  at  the  meeting 
of  the  Vereinigung  filr  Kriippelfiirsorge,  Berlin, 
February,  1915.  At  this  meeting,  Herr  Witowski, 
director  of  the  Reichsversicherungsamt  (Imperial 
insurance  office),  admitted  the  difficulty,  but  the 
remedy  he  proposed  was  simply  further  watch- 
fulness on  the  part  of  the  accident  insurance 

"  Der  Kriegsbeschadigte  in  der  Landwirtschaft.  Konigs- 
berg,  i.  Pr.,  1916,  p.  108-114. 


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associations.  These  associations,  as  has  been 
mentioned,  already  have  hospitals  and  re-educa- 
tion schools  of  their  own  and  exert  themselves  to 
prevent  the  occurence  of  invalidity  as  far  as 
possible  so  as  to  avoid  paying  the  pension  re- 
quired by  the  insurance  law. 

The  attitude  of  employers  toward  war  crip- 
ples, as  has  been  said,  must  necessarily  be  a  very 
liberal  one  and  employers  have  not  pressed  this 
question.  In  a  few  cases,  there  have  been  dif- 
ficulties. Section  178  of  the  Reichsversicherungs- 
ordnung  (Imperial  Insurance  Law)  provides  that 
where  a  man's  working  capacity  is  permanently 
lessened  he  may  work  uninsured,  if  the  poor  law 
authorities  are  caring  for  him.  Some  trades  have 
been  enforcing  this  provision  with  war  cripples,  but 
the  Prussian  Minister  of  Commerce  and  Industry 
has  warned  against  too  wide  an  application.'^ 

The  Prussian  War  Ministry  has  decided  that 
where  men  are  discharged  from  the  army  and 
go  to  work  at  a  trade  where  insurance  is  compul- 
sory, they  must  be  insured  under  the  provisions 
of  the  law.''  This  apparently  applies  to  all  cases 
except  those  just  mentioned,  which  are  proved 
to  be  permanently  injured  and  under  the  care 
of  the  poor  law  authorities. 

There  has  been  a  good  deal  of  discussion  about 
the  status  of  men  still  in  hospital  and,  therefore, 
under  military  authority  who  go  out  to  work  in 
factories,  whether  for  pay  or  not.  The  Prussian 
Ministry  of  War  has  decided  that  such  work 
must  be  considered  part  of  their  medical  treat- 
ment and  that  they  do  not  come  under  the 
provisions  of  the  insurance  law,  but  under 
the  Mannschaftsversorgungsgesetz  (provision  for 
troops),"  and  any  injury  to  them  must  be  the 
responsibility  of  the  war  department.  In  West- 
phalia, however,  the  care  committee  had  so  much 
difficulty  with  employers,  that  it  arranged  with 
an  insurance  company  to  pay  the  accident  com- 
pensation in  these  cases.^* 

INVESTIGATION  OF  EMPLOYMENT  FOR  CRIPPLES 

Systematic  work  is  only  just  beginning  in  the 
field  of  investigation  as  to  possible  trades  for 

''  Korrespondenz  fiir  Kriegswohlfahrtspjlege,  Berlin,  1916,  ii, 


34- 


"  Zeilschrift  fUr  Krilppelfursorge.  Leipzig,  1916,  ix,  187-188. 
"  Zeitsckrift  fiir  Kruppelfursorge,  Leipzig,  1916,  ix,  188. 
"  Zeilschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  348. 


cripples.  The  Bochum  School  for  the  wounded 
divides  the  trades  taught  into:  sitting  occupa- 
tions, for  men  with  thigh  amputations;  half- 
sitting  occupations,  for  those  with  amputations 
just  above  or  below  the  knee  and  occupations 
for  the  one-armed.  The  school  teaches  twelve 
sitting  occupations,  nine  half-sitting,  four  for 
the  one-armed  and  twenty  miscellaneous.  Fur- 
ther details  are  not  given.'* 

The  Deutscher  Industrieschutzverband  (Ger- 
man Union  for  the  Protection  of  Industry), 
Dresden,  has  made  a  report  of  seventy-nine 
trades  compatible  with  different  injuries.  The 
trade  operations,  which  are  not  given  in  great 
detail,  are  such  general  ones  as  cabinet-maker, 
locksmith,  tailor,  etc.^" 

The  most  complete  piece  of  work  which  has 
been  done  in  this  line,  is  the  report  entitled, 
Lohnende  Beschaftigung  fiir  Kriegsbeschddigte  aus 
dem  Metallgewerbe  (Gainful  Occupation  for  War 
Cripples  in  the  Metal  Trades),  by  Franz  Alm- 
stedt  (Publisher,  Max  Janecke,  Leipzig,  1916). 
The  author  has  been  a  teacher  in  the  city  con- 
tinuation school  at  Hanover  and,  since  the  war, 
teacher  and  vocational  adviser  in  the  hospital 
school.  He  gives  a  careful  description  of  ninety- 
two  operations  in  the  metal  trades,  with  an 
exact  statement  of  their  compatibility  with  in- 
juries from  the  loss  of  a  finger  to  loss  of  both 
arms  or  legs. 

X.   PUBLICITY 

HISTORY 

Public  education  on  the  subject  of  proper 
treatment  of  war  cripples  has  been  very  effi- 
ciently managed.  There  was,  at  the  beginning 
of  the  war,  the  usual  outbreak  of  misguided 
charity.  The  newspapers  were  loud  in  their 
demands  for  Heldenheime  (old  soldiers'  homes), 
where  all  cripples  could  be  maintained  in  idleness 
for  the  rest  of  their  lives.  Uninformed  volunteer 
societies  sprang  up  everywhere.  But  the  leaders 
in  orthopedic  work  immediately  took  up  the 
definite  task  of  educating  public  opinion. 

Dr.  Biesalski,  the  secretary  of  the  federation 
for  the  care  of  cripples,  made  a  tour  of  the  whole 

•'  Zeilschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  406. 
^'' Zeilschrift  fiir  KriippelfUrsorge,  Leipzig,  1916,  ix,  326. 


7^ 


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Series  I 


country  under  the  auspices  of  the  Red  Cross, 
speaking  in  all  the  important  towns  before  the 
social  workers  and  officials,  and  instructing  them 
in  the  most  modern  principles  of  cripple  work. 
The  result  was  that  the  new  committees,  when 
first  formed,  were  prepared  to  conduct  their  work 
in  the  most  intelligent  way,  and  that  there  was 
very  little  volunteering  and  subscription  of 
money  for  undesirable  forms  of  charity. 

This  tendency  was  diverted  very  early  to  an 
interest  in  re-education  schools. 

PUBLICATIONS 

There  are  several  regular  publications  which 
keep  the  social  workers  informed  of  the  progress 
and  plans  of  cripple  work.  The  Zeitschrift  fiir 
Kriippelfursorge,  the  official  magazine  of  the 
Vereinigung  fiir  Kriippelfiirsorge  has  devoted  its 
pages  almost  entirely  since  the  war  to  reports 
on  the  work  for  war  cripples.  There  are  besides 
this  the  regular  magazine  of  the  Reichsausschuss 
and  its  special  reports  and  pamphlets,  the  maga- 
zine of  the  Brandenburg  care  committee,  Vom 
Krieg  zur  Friedensarbeit  (From  War  to  Industry) 
and  the  reports  on  general  war  work  in  the 
Korrespondenz  fiir  Kriegswohlfahrtspflege  (Cor- 
respondence on  War  Welfare  Work).  These 
serve  for  the  technical  information  of  the  workers 
but  the  various  societies  have  also  been  at  great 
pains  to  issue  publications  for  the  thorough  infor- 
mation of  the  public.  The  Vereinigung  fiir 
Kriippelfiirsorge  has  published  three  illustrated 
pamphlets  by  its  secretary,  Dr.  Biesalski,  in- 
tended to  convince  both  the  cripples  and  the 
general  public  of  the  truth  of  his  maxim,  "There 
is  no  such  thing  as  being  crippled."  The  books 
are  full  of  illustrations  and  examples  of  the  fact 
that  cripples  can  and  do  return  to  industrial  life. 
They  are:  Kriegskriippelfiirsorge,  Ein  Aufkla- 
rungswort  zur  Trost  und  zur  Mahnung,  (Work  for 
War  Cripples,  a  Word  of  Comfort  and  Warning), 
Die  ethische  und  wirtschaftliche  Bedeutung  der 
Kriegskriippelfiirsorge  und  ihre  Organisation  in 
Zusammenhang  mil  der  Gesamte  Kriegshilfe, 
(The  Ethical  and  Economic  Significance  of  the 
Work  for  War  Cripples  and  its  Organization  in 
Connection  with  General  War  Work),  'Die  Fiir- 
sorgefiir  unsere  heimkehrenden  Krieger,  insbeson- 
dere  die  KriegskrUppel  (The  Work  for  Our  Home- 


coming Soldiers,  especially  the  War  Cripples). 
All  three  are  published  by  Leopold  Voss,  Leipzig, 
1915- 

There  are  also  several  pamphlets  published  in 
the  interests  of  agriculture,  proving  the  ease  and 
profit  with  which  cripples  may  return  to  the  land. 
Such  are  Der  Arm-  und  Beinbeschddigte  in  der 
Landwirtschaft  (Agriculture  for  Men  with  Arm 
and  Leg  Injuries)  by  Friederich  Maier-Bode,  vo- 
cational adviser  at  Niiremberg-Schafhof,  and  Der 
Kriegsbeschddigte  in  der  Landwirtschaft  (The 
War  Cripple  in  Agriculture),  published  by  the 
East  Prussian  care  committee.^ 

These  books  are  all  as  much  to  provide  argu- 
ments and  material  for  the  care  committees  as 
for  the  cripples  themselves.  One  particularly 
popular  appeal  aimed  directly  at  the  cripple  is 
the  pamphlet  by  Dr.  Wiirz  of  the  Oscar-Helene 
Heim  called  Der  Wille  Siegt  (Will  Conquers). 
This  is  meant  for  distribution  in  all  the  hospitals. 
It  is  a  collection  of  the  histories  of  succesful  crip- 
ples from  Tamburlaine  and  Frederic  of  Homburg 
down  to  the  veterans  of  the  present  war.  Re- 
habilitated cripples  suffering  from  all  types  of 
injuries  tell  their  own  stories  and  urge  their  com- 
rades to  similar  courage.  Its  purpose  is  frankly 
to  provide  the  stimulus  of  patriotism,  pride  and 
ambition,  which  will  overcome  hospital  lethargy 
and  pension  psychosis.  The  conclusion  may 
serve  as  an  example  of  the  high  dramatic  key  in 
which  it  is  couched: 

A  Rousing  Call  to  War  Cripples 

You  war  cripples!  Receive  these  stories  and  these  living 
examples  of  the  conquering  power  of  the  will  as  good  friends 
into  your  soulsl  When  trouble  and  faintheartedness 
paint  sinister  pictures  before  you,  do  not  believe  the  terrible 
spectres.  Look  upward,  toward  the  victories  which  cor- 
ageous  war  cripples  Jmve  won.  Listen  to  the  message  con- 
tained in  these  life  battles  of  crippled  men.  Life  is  earnest 
and  you  have  learned  how  hard  it  can  be  for  each  one  of  us. 
But  do  not  let  your  working  power  grow  rusty.  Be  good 
warriors,  even  on  the  battlefield  of  industry.  Think  not 
of  what  you  have  lost,  look  not  behind  you,  but  stride  for- 
ward, certain  of  victory.  If  you  believe  in  yourselves,  you 
are  planting  many  a  victorious  banner  for  the  future.  Let 
all  that  you  learn  become  a  weapon  in  your  proud  fight 
for  independence  from  the  help  of  others.    Be  patient  as 

'  Der  Arm-  und  Beinbeschadigte  in  der  Landwirtschaft. 
Leipzig,  19 1 7.  Der  Kriegsbeschadigte  in  der  Landwirtsciiaft, 
Konigsberg  i.  Pr.,  1917. 


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31 


you  practise  your  new  knowledge.  You  have  stUl,  as  you 
have  ever  had,  the  joy  which  lies  in  every  piece  of  work. 
With  every  tiny  success,  you  are  building  up  the  strength 
of  the  Fatherland.  The  German  people  needs  you  as  much 
as  it  needs  the  unwounded. 
Dare  to  Will!     Will  conquersP 

There  are  other  pubHcations  of  this  same 
nature,  meant  to  influence  the  war  cripple  while 
he  is  in  hospital  and  prepare  his  mind  for  the 
future.  One  such  is  the  Liibecker  Lazarett  Zeitung 
(Liibeck  Hospital  Journal)  published  by  the 
Liibeck  care  committee  and  distributed  free  to 
all  cripples  in  the  city.  Among  short  bits  of 
news  about  trades  and  pensions,  it  has  inspiring 
verses  and  talks  on  the  joy  of  suffering  for  the 
Fatherland,  and  each  month  an  article  on  the 
German  nature,  featuring  such  qualities  as  in- 
dustry, courage,  patience,  and  patriotism. 

EXHIBITIONS 

Exhibitions  on  the  subject  of  cripple  care  have 
been  held  in  all  parts  of  the  empire.  A  large  ex- 
hibition on  the  care  of  the  sick  and  wounded  in 
war  was  arranged  in  December,  1914,  stayed  a 
month  in  the  Reichstag  building  in  Berlin  and 
then  travelled  to  Vienna  and  Buda-Pest  and  to 
all  the  large  cities  of  Germany.  In  this  exhibi- 
tion, a  section  arranged  by  the  Vereinigung  fiir 
KrUppelfUrsorge  exhibited  all  the  phases  of  re- 
education, model  workshops,  photographs  of 
cripples  at  work,  and  samples  of  the  product. 
The  newspapers  reported  this  exhibition  as  being 
crowded  during  the  whole  course  of  its  progress. 
The  Vereinigung  fiir  KrUppelfUrsorge  plans  to 
establish  a  permanent  museum  for  cripple  wel- 
fare work  which  shall  be  concerned  with  the  care 
of  industrial  as  well  as  war  cripples.'  Smaller 
exhibitions  have  been  arranged  by  the  care  com- 
mittees in  different  localities  with  samples  of  the 
work  done  there,  i.  e.,  at  Altona,  Charlottenburg, 
Stuttgart,  Dusseldorf,  Leipzig,  Potsdam,  Co- 
logne, and  Munich. 

The  workers  in  the  cripple  field  are  urging  that 
more  use  be  made,  even  than  has  yet  been  made, 
of  slides  and  moving  pictures  illustrating  the 
possibilities  of  work  for  cripples.  These  are  in 
use  for  the  lectures  given  as  entertainment  at  the 

«  WOrtz,  Hans.    Der  Wille  Siegt.    Berlin,  1916. 
>  Zeitschriftfiir  KrUppelfUrsorge,  Leipzig,  1915,  viii,  Monats- 
blatt,  25-27. 


larger  re-education  schools  and  it  is  urged  that 
more  of  them  be  shown  before  the  general  public, 
so  that  the  wives  and  dependents  of  cripples  will 
realize  the  possibilities  for  them. 

Through  these  publications,  the  host  of  volun- 
teer workers  in  Germany  is  kept  continually  in- 
formed as  to  the  measures  for  returning  cripples 
to  civil  life  and  is  also  reminded  that  one  of  the 
first  duties  of  the  worker  himself  is  publicity  in 
the  instruction  of  the  cripple  and  his  dependents 
as  to  the  possibility  of  his  returning  to  industry. 

XI.   PENSIONS 

The  source  of  the  pension  provisions  for  non- 
commissioned officers  and  privates  is  the  Mann- 
schaftsversorgungsgeselz  (law  of  provision  for 
troops),  passed  May  31,  1916.  According  to  this, 
a  pension  is  granted  if  a  man's  working  capacity 
is  reduced  in  any  measurable  degree,  i.  e.,  ten 
per  cent,  or  more.  Injuries  which  amount  to 
less  than  ten  per  cent,  are  not  considered;  for 
injuries  which  impair  the  working  capacity  from 
ten  per  cent,  to  one  hundred  per  cent.,  the  pen- 
sion is  correspondingly  increased.  Pensions  are 
graded  according  to  military  rank.  The  full 
pension  for  complete  disablement  is,  per  year: 

Private 540  marks 

Corporal 600  marks 

Sergeant 720  marks 

Sergeant  Major    .    .  900  marks 

If  the  degree  of  disablement  is  lessened,  pen- 
sions can  be  accordingly  diminished.  When  the 
degree  of  disablement  reaches  less  than  ten  per 
cent.,  pensions  can  be  entirely  withdrawn. ^ 

To  the  pension  proper,  there  are  various  addi- 
tions : 

I.  Kriegszulage  (war  allowance),  fifteen  marks 
a  month.  This  is  paid  wherever  the  pension  is 
paid.  If  the  pension  is  diminished,  the  war  allow- 
ance remains  the  same.  If  the  pension  is  with- 
drawn on  account  of  regained  working  capacity, 
the  war  allowance  is  withdrawn.'' 

>  Verhandlungsbericht  iiber  die  Tagung  fur  KriegsbeschSdig- 
tenfUrsorge  in  Koln.  Berlin,  1917,  p.  29.  (Reichsausschuss 
der  Kriegsbeschadigtenfiirsorge.  Sonderschriften,  Heft  i.) 
Zeilschrifl  fiir  KrUppelfUrsorge,  Leipzig,  1916,  ix,  58. 

'  Verhandlungsbericht  uber  die  Tagung  fur  Kriegsbeschadig- 
tenfUrsorge  in  Koln.  Berlin,  1917,  p.  29.  (Reichsausschuss 
der  Kriegsbeschadigtenfiirsorge.  Sonderschriften,  Heft  I.) 
Zeilschrifl  fur  KrUppelfUrsorge,  Leipzig,  1916,  ix,  58. 


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2.  Verstuntmelungszulage  (mutilation  allow- 
ance), twenty-seven  marks  per  month.  This  is 
paid  in  case  of  serious  mutilation,  such  as  the 
loss  of  an  arm,  a  leg,  an  eye,  etc.,  or  in  case  these 
members  are  rendered  useless  as  by  paralysis. 
For  double  mutilation,  such  as  the  loss  of  both 
legs,  total  blindness,  etc.,  there  is  double  allow- 
ance. The  mutilation  allowance  cannot  be  with- 
drawn so  long  as  mutilation  exists,  even  though 
working  capacity  be  completely  regained  (e.  g., 
through  the  use  of  prostheses).  It  can  only  be 
withdrawn  if  mutilation  no  longer  exists,  e.  g., 
if  the  use  of  a  paralyzed  limb  is  regained.' 

3.  AUerszulage  (old  age  allowance).  Paid  to 
men  over  fifty-five  years  old  whose  yearly  income 
does  not  reach  600  marks.  The  amount  paid  is 
the  difference  between  the  man's  actual  income 
and  600  marks.* 

4.  Zusatzrente  (supplementary  allowance) .  This 
is  a  later  provision  not  included  in  the  Mann- 
schaflsversorgungsgesetz;  it  is  paid  from  a  special 
fund  recently  set  apart  by  the  Imperial  Govern- 
ment for  this  purpose.  According  to  a  report 
made  by  the  intelligence  department  of  the  Eng- 
Jish  local  government  board,  the  German  gov- 
ernment has  promised  to  revise  the  pension  sys- 
tem so  as  to  take  into  consideration  a  man's  for- 
mer earnings  and  not  merely  his  military  rank. 
This  cannot  be  done  until  after  the  war,  when 
more  funds  will  be  available  and  the  supple- 
mentary allowance  is  granted  as  a  temporary 
measure.  The  conditions  under  which  it  is 
granted  were  explained  by  the  Prussian  War 
Ministry,  in  a  decree  of  June  15,  1917,  as  follows: 

The  allowance  is  granted  to  those  who  had  a  definite 
income  from  work  before  the  war  and  who  have  lost  it 
as  a  result  of  war  injuries,  or  who  had  such  an  income 
in  prospect  and  have  lost  it  in  this  way.  The  impair- 
ment to  working  capacity  must  be  thirty-three  and  one- 
third  per  cent,  or  more,  and  the  applicant  must  show 
that  he  has  made  all  possible  efforts  to  get  work  which 
will  make  him  self-supporting,  and  that  the  local  care 
committee  has  also  been  unable  to  place  him.     The 

•  Verhandlungsbericht  Uber  die  Tagung  fUr  Kriegsbeschadig- 
tenfiirsorge  in  Kbln.  Berlin,  1917,  p.  29.  (Reischsausschuss 
der  Kriegsbeschadigtenfiirsorge.  Sonderschriften,  Heft  i.) 
Zeitschrifl  fur  Kriippelfiirsorge,  Leipzig,  191S.  ix.  S8. 

*  Verhandlungsbericht  Uber  die  Tagung  fiir  Kriegsbeschadig- 
tenfiirsorge in  Koln.  Berlin,  1917,  p.  29.  (Reichsausschuss 
der  Kriegsbeschadigtenfursorge.    Sonderschriften,  Heft  i.) 


applicant's  total  income  must  be  less  than  5,000  marks 
per  year,  and  must  be  diminished  by  at  least  one-fourth 
as  a  result  of  his  injuries.  In  reckoning  income,  all 
pension  allowances,  except  mutilation  allowance,  are 
counted.  The  supplementary  allowance  is  granted  for 
only  six  months  at  a  time  and  is  not  renewed  if  condi- 
tions improve  and  put  the  man  outside  its  provisions. 
The  allowance  is  graded  according  to  conditions.  It 
may  reach  forty  to  forty-five  marks  a  month.' 

The  authority  for  the  granting  and  readjust- 
ment of  pensions  is  the  Ministry  of  War,  which 
can  delegate  its  authority  to  specially  appointed 
boards.  The  amount  of  impairment  of  working 
capacity  is  determined  by  a  military  board 
appointed  for  this  purpose.  Its  decisions  may  be 
appealed  from  to  a  higher  board  and  finally  to 
the  war  office  itself.  This  board  meets  once  a 
year  to  consider  changes  and  withdrawals  of 
pensions.  No  change  is  made  except  after  regu- 
lar proceedings  where  impairment  or  regaining 
of  working  capacity  must  be  proved. 

There  is  great  dissatisfaction  with  the  whole 
pension  system,  which  even  the  late  concession 
of  the  supplementary  allowance  has  not  reme- 
died. An  investigation  conducted  in  the  Rhine 
Province  by  cripples  themselves  revealed,  ac- 
cording to  Vorwdrts,  great  misery  and  injustice. 
Pensions  were  proved  in  every  case  to  be  decid- 
edly too  small.  (Vorwdrts,  September  24,  1917.) 
The  director  of  the  Bureau  for  Information  and 
Vocational  Advice  maintained  by  war  cripples 
in  Berlin  makes  the  same  statement.  This 
bureau  has  complained  to  the  Ministry  of  War 
particularly  about  the  way  in  which  the  mutila- 
tion allowance  is  determined.  (Vorwdrts,  Octo- 
ber 26,  191 7.)  It  has  been  decided  to  address 
to  the  Reichstag  a  petition  signed  by  as  many 
cripples  as  possible  and  asking  an  increase  in 
pensions.     (Vorwdrts,  September  24,  191 7.) 

The  newspaper  Volkswille,  Hanover,  October 
24,  1917,  states  that  the  number  of  cripples  dis- 
charged without  pension  is  so  enormous  that 
there  is  absolute  need  of  some  authority  to  settle 
disputes  between  the  war  department  and  the 
pension  claimants.  Vorwdrts,  October  30,  1917, 
states  that  there  are  many  thousand  pensioned 
cripples  in  bitter  need.     These  statements  are 

'  Vom  Krieg  zur  Friedensarbeit,  Berlin,  1917,  iii,  35.  Korre- 
spondenz  fiir  Kriegswohlfahrtsflege,  Berlin,  1916,  2,  156. 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


33 


not  easily  reconciled  with  those  made  by  the 
social  workers  to  the  effect  that  ninety  per  cent, 
of  war  cripples  are  able  to  return  to  industrial 
life.  There  is  evidently  a  considerable  difference 
of  attitude  between  the  volunteer  worker  class 
and  the  socialist  element  which  these  papers 
represent. 

The  matter  of  pension  revision  has  come  up 
for  discussion  before  the  Hauptausschuss  (head 
committee)  of  the  Reichstag.  It  was  stated  at 
this  discussion  that  the  administration  of  pen- 
sions is  much  too  bureaucratic  and  that  it  is 
absolutely  imperative  that  the  condition  of 
veterans  shall  be  improved.  {Frankfurter  Zei- 
tung,  October  2,  1917.)  It  was  resolved  that  the 
Chancellor  shall  bring  before  the  Reichstag  a 
proposal  for  changes  in  the  Mannschaftsversorg- 
ungsgesetz  as  soon  as  possible,  at  the  latest  by 
the  beginning  of  the  year  1918.  {Frankfurter 
Zeitung,  October  2,  1917.)  No  report  of  such  a 
proposal  has  been  received. 

The  principal  changes  desired  are,  as  has  been 
intimated,  the  adjudication  of  pensions  on 
grounds  of  a  man's  age,  occupation,  and  family 
circumstances  instead  of  military  rank,  and  the 
granting  of  permanent  pensions  irrespective  of 
changed  earning  capacity.  A  suggestion  made 
by  Dr.  Siegfried  Kraus,  of  Frankfurt,  is  that 
pensions  should  not  be  fixed  until  a  definite  time 
after  discharge  when  a  man  has  had  a  chance  to 
try  out  his  earning  capacity  and  that,  once  fixed, 
they  should  be  inalterable. 

The  capital  settlement  law  is  also  criticized 
on  grounds  of  its  discrimination  against  age.  As 
it  now  stands,  the  boy  of  eighteen  has  the  best 
chance  at  a  farm,  while  it  is  the  man  of  forty 
who  would  be  best  able  to  conduct  a  farm,  who 
has  sacrificed  most  in  war,  and  who  has  the  least 
chance  of  finding  other  employment. 

SOCIAL  INSURANCE  FOR  WAR  CRIPPLES 

War  cripples,  under  certain  conditions,  have 
a  right  to  payments  under  the  social  insurance 
laws,  in  addition  to  their  pension  payments.  The 
social  insurance  organization  has  been  briefly 
sketched  under  hospital  facilities.  According 
to  the  Reichsversicherungsordnung  (Imperial  In- 
surance Law)  of  June  19,  191 1,  there  are  three 
kinds  of  social  insurance:  sickness,  accident,  and 


invalidity  (including  old  age).  The  law  stipu- 
lates that  accident  insurance  is  paid  only  in 
case  of  injuries  occurring  while  the  claimant  was 
at  work  in  one  of  the  insured  industries.  Acci- 
dent insurance,  therefore,  does  not  come  into 
question  for  crippled  soldiers,  but  sickness  and 
invalidity  do. 

SICK  BENEFITS 

The  costs  of  medical  care  and  sick  payments 
for  the  first  twenty-six  weeks  of  illness  are 
borne  by  Krankenkassen  (sick  benefit  societies) 
authorized  by  the  state.  To  these,  the  workmen 
contribute  two-thirds  and  the  employers  one- 
third.  It  is  not  stipulated  that  the  illness  shall 
be  caused  by  work;  therefore,  men  wounded  in 
war,  if  still  members  of  sick  benefit  societies, 
would  have  a  right  to  these  payments.  Since  the 
war  department  takes  charge  of  all  medical 
treatment  for  such  men,  their  rights  would  be 
limited  to  the  sick  payments.  Membership  in 
these  sick  benefit  societies  is  compulsory  for 
workmen  engaged  in  most  of  the  ordinary  trades. 
It  is  usually  allowed  to  lapse  when  the  man  is 
called  to  military  service  unless  his  family  or 
some  charitable  society  makes  the  payments  for 
him.  However,  men  injured  in  war  have  a  right 
to  the  payments,  if  illness  set  in  within  three 
weeks  of  their  leaving  the  sick  benefit  society 
or  if  they  became  voluntary  members  of  the 
society  beginning  within  three  weeks  of  leaving 
the  compulsorily  insured  trade.* 

INVALID  INSURANCE 

Medical  treatment  and  pension,  in  case  of 
invalidity  and  old  age,  are  paid  one-half  by  em- 
ployers and  one-half  by  employees.  A  man  is 
entitled  to  them  if  he  has  made  two  hundred 
weekly  payments.  He  must  accept  whatever 
medical  treatment  is  offered,  whether  at  home  or 
in  a  sanitarium  and  must  consent  to  re-education, 
prostheses,  etc.,  or  he  loses  his  rights  to  a  pension. 
A  war  cripple  who  has  made  the  two  hundred 
weekly  payments  is,  therefore,  entitled  to  the 
invalidity  pension  in  addition  to  his  pension  from 
the  war  department.'  As  a  rule,  medical  treat- 
ment does  not  come  in  question  because  it  is 

'  Zeitschrifl  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  169. 
^  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  171. 


34 


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Series  i 


attended  to  by  the  war  department,  but,  in  case 
of  a  relapse  after  discharge  or  of  further  expensive 
treatment,  the  sanatoria  of  the  insurance  socie- 
ties are  very  useful. 

Even  this  double  possibility  does  not  relieve 
the  poverty  among  pensioned  cripples.  At  a 
session  of  the  Hauptausschuss  of  the  Reichstag, 
October,  1917,  it  was  resolved  that  all  invalidity 
pensions  should  be  increased  fifty  per  cent,  dur- 
ing the  years  191 7  and  191 8.  The  weekly  premi- 
ums were  also  to  be  increased  fifty  per  cent. 
{Frankfurter  Zdtung,  October  2,  1917.) 

CAPITAL  SETTLEMENT  LAW 

The  only  important  change  in  the  pension  laws 
resulting  from  the  present  war,  was  the  Kapital- 
abfindungsgesetz  (capital  settlement  law),  of  June 
3,  1916.  This  law  was  the  result  of  the  combined 
demand  for  greater  generosity  in  pensions  and  for 
some  means  of  keeping  the  agricultural  popula- 
tion on  the  land.  It  provides  for  commutation  of 
part  of  the  pension  into  capital  payment  under 
certain  conditions.  The  provisions  are  briefly  as 
follows : 

a.  Purpose  for  which  settlement  may  be  used:  Pur- 
chase or  improvement  of  real  estate  property,  or  build- 
ing of  dwelling  houses.  This  is  interpreted  to  include 
purchase  of  farms,  market  gardens,  suburban  dwellings, 
city  dwellings,  improvement  of  houses  by  addition  of 
workshops  or  stores,  purchase  of  city  workingmen's 
tenements  by  a  number  of  veterans  together.  (The 
only  thing  definitely  excluded  is  the  purchase  of  build- 
ing of  factories.)  The  law  is  intended  to  benefit  prac- 
tically all  the  members  of  the  working  class.  A  large 
number  will  be  induced  to  buy  farms  and  gardens  or  to 
add  to  those  they  already  own ;  handworkers  and  small 
shopkeepers  can  have  their  own  houses  in  the  suburbs  or 
small  towns  and  even  city  factory  workers  can  combine 
for  improved  city  dwellings  such  as  already  exist  in 
Berlin.' 

h.  Persons  eligible :  Veterans  and  widows  of  veterans 
between  the  ages  of  twenty-one  and  fifty-five,  who  have 
a  right  to  war  payments  under  the  provisions  of  the 
law  of  provision  for  troops  and  of  the  law  providing  for 
the  widows  and  orphans  of  soldiers.  Payments  which 
may  be  commuted,  Kriegszulage  (war  allowance)  fifteen 
marks  per  month  and  VerstUmmelungszulage  (mutilation 
allowance),  twenty-seven  marks  per  month.  For  wid- 
ows, half  of  total  allowance.  Those  not  crippled  are,  of 
course,  entitled  only  to  war  allowance. 

•  Vom  Krieg  zur  Friedensarbeit,  Berlin,  1917,  3,  24. 


c.  The  pension  proper  may  not  be  commuted  but 
remains  as  a  steady  income  although  it  may  be  reduced 
or  withdrawn  with  increased  earning  capacity.  The 
capital  payment  is  supposed  to  represent  the  total 
amount  which  would  accrue  to  any  veteran  from  pay- 
ment for  life  of  the  two  allowances  in  question.  His 
probable  length  of  life  is  calculated  on  the  basis  of  the 
experience  of  the  Imperial  Insurance  Office.  As  a  result 
of  this,  a  man  twenty-one  years  old  receives  eighteen 
and  one-half  times  the  yearly  total  of  the  allowances 
due  him;  a  man  of  thirty,  sixteen  times;  of  forty, 
thirteen  and  three-quarter  times;  at  fifty-five,  eight 
and  one-quarter  times,  etc.  The  result  is  that  a  man 
of  twenty-one,  who  was  entitled  to  both  war  and  muti- 
lation allowances  would  receive  9,324  marks;  a  man  of 
thirty,  with  the  two  allowances,  8,190  marks;  one  of 
forty,  6,930,  etc.  With  double  mutilation,  these  would 
be  correspondingly  increased. 

d.  Conditions  safeguarding  settlement:  Each  indi- 
vidual applicant  must  prove  his  ability  to  manage  the 
enterprise  for  which  he  proposes  to  use  the  money  and 
its  practicability.  If  he  purchases  land,  he  must  do  it 
through  one  of  the  real  estate  associations  authorized 
by  the  government.  If  the  applicant  is  proved  later  to 
be  unable  to  manage  his  enterprise,  the  total  payment 
must  be  refunded  and  he  receives  his  monthly  allow- 
ances instead.  Sometimes  the  government  takes  a 
mortgage  on  his  property  to  insure  this. 

e.  Managing  authority:  No  veteran  has  an  absolute 
right  to  capital  payment.  Each  application  is  decided 
on  its  merits  by  a  board  appointed  by  the  Ministry  of 
War  before  which  the  proper  proofs  must  be  brought. 

GENERAL  CONCLUSIONS 

Social  workers  are  extremely  hopeful  about 
the  results  of  this  law,  which  was  passed  after 
much  discussion.  Its  need  was  greatly  felt  but 
the  difficulties  were  the  calculation  of  a  lump  sum 
for  men  of  different  ages  (dealt  with  by  provisions 
under  'c')  and  safeguarding  against  the  total 
loss  of  the  payment  through  inefficiency  of  the 
recipient  (dealt  with  by  provisions  under  'c', 
'd',  and  'e').  The  chief  difficulty  now  will  be  in 
slowness  and  formality  of  administration,  since 
the  military  boards  are  notorious  for  these  quali- 
ties in  the  matter  of  deciding  pensions. 

Great  activity  has  been  stimulated  among  real 
estate  associations.  There  existed  before  the  war 
a  great  many  land  development  associations  of 
a  semi-charitable  character  and,  since  the  pas- 
sage of  the  law,  many  others  have  been  formed 
with   the  definite  object  of  assisting  veterans 


Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


35 


under  its  provisions.  Many  of  the  states  and 
provinces,  particularly  the  agricultural  ones  like 
Silesia,  have  formed  semi-official  associations. 
There  are  now  thirty  or  more  authorized  associa- 
tions listed  in  the  appendix. 

XII.   ATTITUDE  OF  CRIPPLES 

One  of  the  most  important  things  to  be  noted 
in  connection  with  the  re-education  of  the  war 
cripple  is  the  attitude  of  the  men  themselves. 
The  nature  of  the  patriotic  appeal  made  to  them 
and  their  own  published  testimony  leads  one  to 
believe  that  there  is  great  unanimity  and  docility 
among  them.  The  whole  spirit  of  the  country 
would  appear  to  be  at  such  a  high  patriotic  ten- 
sion that  a  measure  like  re-education  which  is 
urged  on  patriotic  grounds  can  be  certain  of  sup- 
port from  every  individual. 

Since,  however,  most  of  the  cripples  to  be  re- 
educated come  from  the  working  classes,  which 
are  the  least  in  accord  with  the  general  spirit, 
there  is  evident  among  them  a  certain  amount  of 
unrest  and  dissent.  Pastor  Ulbrich,  an  experi- 
enced worker  and  head  of  one  of  the  oldest  crip- 
ples homes,  stands  out  against  the  claim  that  the 
injured  man  will  go  back  to  work  as  though  noth- 
ing had  happened.  He  feels  that  the  idea  of 
recompense  for  what  they  have  gone  through  is 
becoming  firmly  rooted  in  the  returned  cripples, 
fostered  by  popular  sympathy  and  that  after 
the  war  the  country  must  beware  of  a  Helden- 
partei  (hero  party)  composed  of  returned  soldiers 
who  will  insist  on  concessions  from  the  govern- 
ment. 

Slight  indications  of  something  of  the  sort  are 
already  evident.  In  June,  1916,  there  was 
founded  at  Hamburg  the  Bund  Deutscher  Kriegs- 
beschddigten  (German  War  Cripples'  Union).  Its 
object  was  announced  to  be  merely  mutual 
assistance  and  fellowship.'  Other  smaller  organi- 
zations sprang  up  in  different  parts  of  the  coun- 
try and  the  papers  began  to  accuse  them  of 
socialist  sympathies.  It  was  these  unions  which 
conducted  an  investigation  in  the  Rhine  Province 
to  prove  the  inadequacy  of  pensions  and 
which  maintain  an  office  in  Berlin  from  which  a 
petition  for  higher  pensions  was  circulated. 

*  Zeilschrift  fur  KrUppdfiirsorge,  Leipzig,  1917,  x,  238-239. 


The  interests  of  these  unions  have  been  grow- 
ing more  and  more  political.  In  November, 
1917,  the  Berlin  union  came  to  an  open  breach 
with  the  Pan-German  party  over  the  matter  of 
a  negotiated  peace.  The  Pan-German  party, 
in  its  propaganda  for  peace  by  conquest  only,  had 
been  citing  the  sufferings  of  the  war  cripples  and 
urging  the  country  to  fight  to  the  end  in  order  to 
avenge  them  and  to  carry  on  their  work.  The 
Berlin  Verband  der  Kriegsbeschddigten  und  ehe- 
mahlige  Kriegsteilnehmer  (Union  of  War  Crip- 
ples and  War  Veterans)  called  a  meeting  to  pro- 
test against  this  action  of  the  Pan-German  party. 

"The  speaker,"  says  Vorwdrts,  "stood  emphati- 
cally against  the  attempt  of  the  Pan-Germans  to 
entrap  the  veterans  and  war  cripples  by  promis- 
ing them  a  share  of  the  booty.  Instead  of  that, 
he  demanded  that  the  social  program  of  the 
union  of  war  cripples  be  adopted  and  that  all 
veterans  should  have  full  voting  privileges." 

At  the  close  of  the  meeting,  the  following  reso- 
lution was  adopted : 

We,  over  a  thousand  war  cripples  and  veterans,  in 
meeting  assembled,  men  who  have  risked  in  support  of 
Germany  our  health  and  our  lives,  deny  to  members  of 
the  German  'Fatherland  Party'  the  right  to  arrogate 
to  themselves  a  special  measure  of  love  for  our  coun- 
try. We  protest  against  their  quoting  the  veterans  in 
support  of  their  aims  of  conquest.  We  demand  an  early 
negotiated  peace  as  soon  as  this  may  be  done  without 
injury  to  the  nation.  We  demand  that  all  class  privi- 
leges be  laid  aside.  We  demand  special  provision  for 
those  who  have  sacrificed  themselves  at  the  front. 
(Berlin,  Vonvdrts,  November  12,  1917.) 

APPENDIX 

I 

Guiding  Principles  for  Vocational  Advice  and 
Re-education,  Summary  of  Pamphlet  No.  2  of 
Imperial  Committee  for  Care  of  War  Cripples. 
Carl  Heymans,  Berlin,  1917. 

VOCATIONAL  ADVICE 
/.   General  Principles 

1.  Vocational  advice  is   the  duty  of  civilian 

agencies  for  care  of  war  cripples. 

2.  These  agencies  should  undertake  vocational 

advice  for  each  cripple  as  a  regular  part 
of  their  duties,  whether  requested  or  not 


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Series  i 


3.  Vocational  advice  must  begin  as  early  as 

possible.  If  it  has  to  be  delayed  until  a 
man  is  discharged  from  hospital  or  from 
the  army,  its  usefulness  is  much  dimin- 
ished. 

II.  Preparatory  Measures 

4.  The  hospital  staff  can  assist  by  preparing  the 

patient's  mind. 

5.  Vocational  advice  is  best  undertaken  in  a 

man's  home  district.  Men  should  be 
transferred  as  soon  as  possible  to  the  hos- 
pital of  their  home  district  and  the  local 
care  committee  should  take  up  the  matter 
of  advice. 

6.  Within  the  territory  covered  by  any  care 

committee,  there  should  be  a  central 
office  for  vocational  advice. 

7.  Trade  and  agricultural  schools  for  cripples 

should  be  organized  in  every  district  and 
the  bureau  for  vocational  advice  should 
work  in  close  cooperation  with  these. 

///.   Organization  of  Bureaus  for  Vocational 
Advice 

8.  The  bureau  should  cover  not  one  trade,  but 

the  whole  field. 

9.  It  should  have  an  experienced  director  with 

wide  industrial  knowledge. 

10.  Experts  in  different  trades  should  be  called 

in  for  all  special  cases. 

11.  Cripples  should  be  directed  immediately  to 

the  local  care  committee  but  should  be 
advised  as  to  work  by  the  vocational 
adviser. 

12.  Vocational  advice  must  always  be  consid- 

ered in  its  relation  to  the  whole  cripple 
problem,  even  in  consultation  with  spe- 
cialists. 

13.  In  large  districts,  the  committee  may  ap- 

point individual  men  as  representatives  in 
different  parts  of  the  district. 

IV.  Aim  of  Vocational  Advice 

14.  Every  cripple  must  be  put  back,  if  possible 

in  his  old  position,  and,  if  this  is  not  pos- 
sible, in  his  old  trade. 


15.  If  a  cripple's  physical  condition  is  such  that 

he  cannot  follow  his  old  trade,  he  must  be 
placed  in  some  more  specialized  depart- 
ment of  that  trade  or  educated  for  such 
a  department. 

16.  If  the  cripple  cannot  follow  his  old  trade  or 

an  allied  one, 

a.  A  new  trade  should  be  found  in  which 

labor  conditions  are  good  or  for  which 
the  man  is  specially  fitted,  or 

b.  A  trade  in  which  a  normal  man  would  not 

require  all  his  strength  or  which  a 
cripple  can  master  with  the  aid  of  spe- 
cial apparatus. 

17.  In  advising  as  to  a  trade,  the  effects  it  will 

have  on  the  man's  health  must  be  con- 
sidered. 

18.  Temporary  and  unskilled  occupations  are 

to  be  avoided. 

19.  The  tendency  toward  civil  service  positions 

is  to  be  opposed,  because 

a.  The  state,  the  municipalities  and  the 
public  service  corporations  must  keep 
open  the  places  of  their  former  employ- 
ees and,  like  the  industries,  cannot 
overload  their  free  places  with  cripples. 

h.  Workmen  and  clerks  accustomed  to  ac- 
tive competition  in  wages  will  not  long 
be  content  with  a  position  in  which  a 
rise  in  wages  is  impossible. 

20.  The  hospitals  and  other  agencies  must  be 

prevented  from  educating  war  cripples 
from  other  trades  for  commercial  pursuits. 

21.  War  cripples  from  agricultural  occupations 

or  handicraft  workers  of  country  birth 
must  be  encouraged  to  return  to  their  old 
residence  and  discouraged  from  settling 
in  the  cities. 

V.    Vocational  Advice  a  Continuous  Function 

22.  Vocational  advice  should  not  be  confined  to 

a  single  act.  The  adviser,  through  con- 
tinued friendly  intercourse  with  the  crip- 
ple, must  win  his  confidence  and  learn  to 
know  him  on  the  human  side  as  well  as 
on  the  economic  side,  must  take  all  the 
factors  of  the  situation  into  consideration 
and  only  then  give  his  advice. 


Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


37 


23.  The  war  cripples  must  be  encouraged,  but 

their  hopes  must  not  be  extravagantly 
raised. 

24.  Fears  and  prejudices  by  which  the  cripple  is 

hindered  must  be  investigated  and  de- 
stroyed. 

25.  Vocational  advice  is  advice,  not  command. 

It  is,  therefore,  necessary  to  consider  the 
cripple's  tastes  and  desires;  he  should  feel 
that  it  is  he  who  is  responsible  for  the 
handling  of  his  own  situation. 

26.  The  adviser  must  enter  into  friendly  rela- 

tions with  the  cripple's  dependents  or 
other  connections. 

27.  Vocational  advice  and  the  measures  conse- 

quent upon  it  must  be  so  planned  that, 
whenever  possible,  the  cripple's  entrance 
into  a  position  follows  immediately  on  his 
discharge  or  indefinite  leave  of  absence 
from  the  army. 

28.  Wherever  vocational  advice  and  placement 

are  not  under  the  same  management,  the 
adviser  must  stand  in  close  relation  to  the 
placement  agency. 

29.  The  scope  of  vocational  advice  must  extend 

beyond  the  war  and  beyond  the  immedi- 
ate activities  of  the  care  committees. 
Plans  must  be  made  so  that  cripples  who 
need  advice  again  later  on  may  find  it  to 
hand. 

30.  With  special  types  of  injury  and  with  spe- 

cial trades,  there  must  be  special  facilities 
for  vocational  advice.  In  any  case,  the 
work  must  not  be  done  according  to  for- 
mula but  must  be  adapted  in  each  case  to 
individual  needs. 

APPLICATION  BLANK 

FOR  WAR  CRIPPLES  USED  BY  GERMAN  LOCAL 
CARE  COMMITTEES  OF  FREIBURG  IN  BADEN 

1.  Injury  and  prognosis. 

2.  Economic  prospects  of  patient. 

3.  How  long  probably  in  hospital. 

4.  Bed-ridden  or  not. 

(This  blank  is  filled  out  immediately  by  the  doctor 
and  handed  to  local  care  committee  which  gets  other 
facts  later.) 


APPLICATION  BLANK 

FOR  WAR  CRIPPLES  USED  BY  GERMAN  LOCAL 

CARE  COMMITTEES  OF  HESSE,  HESSE-NASSAU 

AND  WALDECK 

Place date 

Office  to  which  application  is  made 

Name  (first  and  surnames) 

Born date place 

County 

Single,  married,  widower 

Of  what  state  a  citizen 

Place  of  present  residence 

Home  address 

Number  of  invalid  card 

Last  employment 

Name  of  employer 

Address  of  employer 

Length  of  time  employed 

Former  employment  (addresses  of  employers  and  length 
of  time  employed) 


Trade  learned 

Certificate  from  re-education  school  or  from  former  em- 
ployers   


Special  training  or  experience. 
Special  preferences 


Diagnosis 

Treatment   begun    or   in   prospect. 
Probable  duration  of  treatment . . . . 


DECISION 

Patient  is  unfitted  for  following  occupations . 


Patient  is  specially  fitted  for  following  occupations. 


Will  patient  need  special  investigation,  care  or  treatment 
(e.  g.  prostheses)  and  how  soon  will  this  be  completed? 


Doctor's  remarks 

Remarks  on  convalescent  care  due  under  military  provi- 
sions  

Remarks  on  convalescent  care  due  under  provisions  of 
insurance  law 


Remarks  on  placement . 


38 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  I 


GUIDING  PRINCIPLES  FOR  LOCAL  CARE 
COMMITTEES 

Laid  down  by  the  Reichsausschuss  der  Kriegs' 
heschddigtenfilrsorge  (Imperial  Committee  on 
Work  for  War  Cripples). 

A.  Persons  to  be  cared  for: 

Includes  all  men  connected  or  formerly  connected 
with  German  fighting  forces  who  have  suffered, 
because  of  the  war,  any  physical  or  mental  injury 
which  interferes  with  earning  capacity. 

B.  Purpose  of  care  committee : 

To  increase  the  ability  and  opportunity  of  the  war 
cripple  for  gainful  occupation.  Means  used  may 
include  general  information,  vocational  advice, 
vocational  training,  placement,  temporary  or  sup- 
plementary medical  treatment,  help  in  settlement 
on  land  and,  if  necessary,  to  establishing  man  at  work, 
also  financial  aid  for  him  and  his  family.  In  any 
other  case,  such  aid  is  to  be  asked  from  public  poor 
funds  or  charity. 

C.  Responsibility  of  care  committees: 

That  committee  is  responsible  for  a  cripple  in 
whose  district  he  resided  before  his  call  to  arms; 
it  remains  responsible  until  he  is  definitely  estab- 
lished in  some  other  district. 

II 

CLASSIFICATION  OF  TEACHING  FACILITIES 

A.  Special  courses  for  cripples  in  city  schools, 
drawing  on  group  of  hospitals. 

B.  Hospitals  outfitted  with  workshops. 

C.  Hospitals  sending  men  out  for  instruction, 

but    to   regular   schools   without   special 
courses. 

D.  Hospitals  with  rudimentary  shop  outfit. 

Alsace-Lorraine 

A.  Strasburg 

B.  Saarbriiken 
C. 

D. 


Baden 


A.  Freiburg 
Heidelberg 
Konstanz 

B.  Mannheim 

C.  Pforzheim 
Karlsruhe 
Baden-Baden 

D. 


Bremen 

A. 

Bremen 

B. 

C. 

D. 

Bavaria 

A. 

Munich 

Augsburg 

B. 

Munich 

Nurnberg 

Wiirzburg 

C. 

D. 

Passau 

Brandenburg 

A. 

Charlottenburg 

Berlin 

■B. 

Berlin  (3) 

Gorden 

C. 

D. 

Brunswick 

A. 

B. 

Brunswick 

C. 

D. 

East  Prussia 

A. 

B. 

Allenstein 

Hindenburghaus 

C. 

D. 

West  Prussia 

A. 

B. 

Danzig 

C. 

D. 

Hesse  (Grossherzogtum) 

A. 

Offenbach 

B. 

C. 

D. 

Hesse-Nassau 

A. 

Frankfurt 

B. 

C. 

D. 

Hamburg 

A. 

B. 

Hamburg 

C. 

D. 

Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


39 


Hanoveb 

A. 

B. 

Hanover 

C. 

D. 

Rheinland 

A. 

Dusseldorf 

Cologne 

B. 

C 

*  Cologne-Deutz 

D. 

Saxony  ( 

kingdom) 

A. 

Leipzig 

Dresden 

B. 

C. 

Zwickau 

D. 

Dresden 

Province  Saxony 

A. 

Halle 

B. 

C. 

D. 

SCHLESWIG-HOLSTEIN 

A. 

B. 

C. 

D. 

Altona 

Flensburg 

Silesia 

A. 

Breslau 

B. 

C. 

D. 

Glatz 

Neisse 

GSrlitz 

Landshut 

Schweidnitz 

Liegnitz 

Gleiwitz 

Westfalia 

A. 

Bochum 

Dortmund 

B. 

Bielefeld 

C. 

D. 

WURTTEMBERG 

A. 

Stuttgart 

Heilbronn 

B. 

C. 

D. 

Mecklenburg 

A. 

B. 

C. 

D. 

Reservelazarett 

Totals: 

A 15 

B 15 

C 3 

D II 

Not  classified  because  of  insufficient  data 3 

Regular  cripple  homes  which  have  announced  readi- 
ness to  take  war  cripples  but  are  not  reported 

as  doing  so 43 

Grand  total • ^o 


III 

re-education  schools  mentioned  in 
german  reports 

Alsace 

Strashurg.  Courses  for  cripples  in  six  dif- 
ferent city  schools  under  care  committee. 

Saarbrucken.  Instruction  in  hospitals  under 
care  committee. 

Baden 

Freiburg.  All  hospitals  in  city  in  agreement 
with  city  schools  where  workshops  and 
instruction •  provided  for  inmates  for  all. 
Instruction  under  direction  local  care 
committee. 

Mannheim.  Hospital  school  of  Orthopedic 
Neurological  Hospital  with  eight  work- 
shops mainly  for  occupational  therapy. 
Instruction  directed  by  local  care  com- 
mittee. 

Konstanz.  'Technikum',  a  private  technical 
school  with  city  subsidy  conducts  cripple 
school  using  its  own  workshops. 

Heidelberg.  Locksmiths'  and  carpenters' 
workshops  in  city  thrown  open  for  use  of 
cripples. 

Baden-Baden.   Instruction    in    city    trade 
schools  for  hospital  inmates  under  care 
committee. 
.  Karlsruhe.    Under  care  committee. 

Pforzheim.     Under  care  committee. 

Ettlingen.  Trade  school  run  by  Baden  state 
care  committee  using  workshops  of  re- 
serve hospital. 

Bavaria 

All  work  under  state  government  instead  of 
care  committee. 


40 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  I 


Munich.  Reserve  hospital  Marfeld,  in- 
struction in  hospital,  twenty-five  work- 
shops, five  hundred  beds.  Theoretic  in- 
struction at  city  schools. 

Munich.  School  instruction  in  building 
trades  for  inmates  of  all  hospitals  at 
Royal  School  of  Building,  followed  by 
master  test.  Cripples,  if  discharged  from 
army,  receive  subsidy  for  maintenance 
from  state  government. 

Niirnberg.  Reserve  hospital  with  workshops 
for  fifteen  trades,  theoretic  instruction  at 
city  schools. 

Augsburg.  Hospital  with  courses  in  city 
trade  schools. 

Wurzhurg.  Courses  arranged  for  cripples  by 
the  Unterfrankische  Ausschuss  des  baye- 
rischen  Landeshilfvereins  and  held  at  dis- 
trict deaf  and  dumb  institution. 

Wiirzburg.  Konig  Ludwig  Haus.  Home  for 
crippled  children  now  a  Vereinslazarett 
treating  and  instructing  crippled  soldiers. 
Shops  and  school  in  building. 

Passau.  Small  school  for  crippled  soldiers- 
Few  trades. 

Ludwigshafen.  Instruction  in  city  schools 
for  crippled  soldiers  in  metal  and  chemical 
work. 

Brunsjvick 

Brunswick.  Hospital  school  with  eleven 
shops.  Hospital  under  military  authority, 
instruction  under  local  care  committee 
carried  on  in  hospital  shops  and  in  city 
schools. 

Grand  Duchy  of  Hesse 

Offenbach.  City  technical  school  gives  in- 
struction for  surrounding  hospitals  which 
accommodate  i,6oo.  Two  hundred  and 
forty  severely  crippled  lodged  in  technical 
school  itself.    Work  under  care  committee. 

Mecklenburg-Schwerin 

Schwerin.  Reservelazarett,  basket- weaving 
and  farming  as  occupational  therapy 
under  military  discipline. 


Hamburg 

Hamburg.  Marine  lazarett,  military  reserve 
hospital,  has  workshops  donated  by  care 
committee. 

Prussia  (Province  Brandenburg) 

Berlin.  Brackenlazarett  auf  dem  Tempel- 
hofer  Felde,  Workshops  in  hospital. 

Berlin-Zehlendorf.  Oscar  Helene  Heim. 
Home  for  crippled  children,  now  a  Ve- 
reinslazarett treating  and  instructing  war 
cripples. 

Berlin.  City  trade  schools  give  instruction 
to  inmates  of  all  hospitals.  Work  directed 
by  city. 

Berlin.  Kriegsbekleidigungsamt  des  Garde- 
korps.  Clothing  factory  of  Gardekorps 
gives  instruction  to  discharged  war  crip- 
ples in  shoemaking,  tailoring,  and  saddlery. 

Berlin.  Kaiser  Wilhelm  Haus.  Instruction 
for  war  cripples  in  munition  work  under 
orthopedic  supervision.  Private  donor, 
military  discipline. 

Berlin.  Frieda  Hempel  Heim.  Small 
houses  and  gardens  at  cheap  rent  for  war 
cripples,  with  instruction  in  gardening 
and  handicraft. 

Prussia  (Province  Brandenburg) 

Charlottenburg.  Municipal  trade  schools  give 
courses  either  at  schools  or  hospitals. 
Direction,  care  committee. 

Charlottenburg.  Test  station  for  artificial 
limbs  with  small  workshop  where  ten 
cripples  can  be  employed  at  once.  Only 
expert  mechanics  taken.  Direction,  So- 
ciety Engineers. 

Nowawes.  Oberlinhaus.  Cripple  home  now 
acting  as  Vereinslazarett  and  taking  war 
cripples.  School  and  workshops  on  prem- 
ises. 

Garden.  Military  reserve  hospital  with 
special  orthopedic  department.  Twenty- 
five  workshops,  eight  hundred  men.  Di- 
rection, military  authorities. 

Neukolln.    Hospital  school. 

Prussia  (Province  East  Prussia) 

Augeburg.  Bethesda,  cripple  home  with 
eight  shops  and   farming  facilities  now 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


41' 


acting  as  Vereinslazarett  and  taking  war 
cripples  for  treatment  and  instruction. 

Hindenburghaus.  Cripple  home  with  one 
hundred  and  twenty  beds  and  five  work- 
shops now  reserve  hospital  taking  war 
cripples.     Direction,  military  authorities. 

Allenstein.  Military  reserve  hospital  taking 
war  cripples  for  treatment  and  instruc- 
tion.    Direction,  military  authorities. 

Konigsherg.  Courses  for  cripples  in  all  city 
schools.    Direction,  local  care  committee. 

Prussia  (Province  Hanover) 

Hanover.  Annastift  and  Wilhelm-Augusta- 
Viktoriastift.  Regular  cripple  homes  with 
shops  and  school  now  acting  as  Vereins- 
lazarette  and  taking  war  cripples. 

Prussia  (Province  Hesse-Nassau) 

Fulda.  Herz-Jesu-Heim.  Cripple  home 
with  nine  workshops  acting  as  Vereins- 
lazarett and  taking  war  cripples. 

Frankfurt  am  Main.  Friderichsheim.  Cripple 
home  now  used  as  reserve  hospital  and 
entirely  given  over  to  war  cripples.  Four 
shops. 

Frankfurt  am  Main.  City  technical  schools 
give  courses  for  cripples,  either  in  schools 
or  hospitals.     Direction,  care  committee. 

Kassel.  Local  care  committee  manages  in- 
struction, partly  in  hospitals  and  partly 
in  city  schools. 

Frankfurt.  Institut  fiir  Gemeinwohl,  hos- 
pital turned  over  to  military  authorities 
by  local  care  committee.  Instruction  in 
city  schools;   direction,  care  committee. 

Prussia  (Province  Pomerania) 

Prussia  (Province  Posen) 

Prussia  (Province  Rhenish  Prussia) 

Cologne.  Courses  in  city  schools  for  inmates 
of  all  hospitals.  Direction,  care  com- 
mittee. 
Cologne.  Stiftung  Dr.  Dormagen.  Cripple 
home  acting  as  Vereinslazarett  and  taking 
war  cripples. 
Cologne-Deutz.  Festungslazarett  under  mil- 
ilitary  discipline,  maintains  cripples  dur- 


ing convalescence  while  they  go  out  to 
work  in  the  city.  Direction,  military 
authorities. 

Diisseldorf.  Large  school  for  wounded  in 
school  buildings,  specially  donated  by 
city,  taking  cripples  from  fifty  hospitals. 
Direction,  care  committee. 

Coblenz.  Orthopedic  Hospital  School  in 
Barmherziger  Briider  Hospital.  Shops 
for  occupational  therapy.  Direction,  mil- 
itary authorities. 

Prussia  (Province  Saxony) 

Halle.  Instruction  in  City  School  for  Hand- 
icraft.    Direction,  care  committee. 

Prussia  (Province  Schleswig-Holstein) 

Stellingen-Altona.  Cripple  home  with  twelve 
workshops  acting  as  Vereinslazarett  and 
taking  war  cripples. 
Flensburg.      School    for    cripples,    not    de- 
scribed. 

Prussia  (Province  Silesia) 

Breslau.  Pestalozzi  School,  fourteen  work- 
shops and  twenty-six  business  courses. 
Gives  instruction  for  cripples  from  all 
surrounding  hospitals;  direction,  care 
committee. 

Glatz.    Hospital  school. 
Neisse.    Hospital  school. 
Gorlitz.     Hospital  school. 

Prussia  (Province  Silesia) 
Landshut.     Hospital  school. 
Schweidnitz.     Hospital  school. 
Liegnitz.     Hospital  school. 
Gleiwitz.     Hospital  school. 

Prussia  (Province  Westphalia) 

Bochum.  Three  hospitals  with  shops  built 
specially  for  war  cripples  by  local  com- 
mittee. Seven  hundred  and  twenty  pa- 
tients. Instruction  at  hospital  workshops, 
factories  in  the  town  and  trade  schools. 
Direction,  care  committee. 

Bigge.  Josephs-Kriippelheim.  Cripple  home 
with  school  and  shops  acting  as  Vereins- 
lazarett and  taking  war  cripples. 


42 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  j 


Dortmund.  Courses  in  city  schools  for  in- 
mates all  hospitals.  Direction,  care  com- 
mittee. 

Bielefeld.  BodelschwinghscheAnstalt.  Crip- 
ple home  with  twenty-four  workshops 
now  acting  as  Vereinslazarett. 

Prussia  (Province  West  Prussia) 

Danzig.  Kaiser-Wilhelm-Haus  fiir  Kriegs- 
beschadigte.  Reserve  hospital  with  shops 
and  school.  Direction,  military  authori- 
ties. 

Hakelwerk.      Hospital    with    shops    and 
school. 

Saxony 

Dresden.  Courses  for  inmates  all  hospitals 
in  City  Business  School,  Royal  School  of 
Handicraft,  Royal  School  of  Building, 
Technical  High  School.  Direction,  care 
committee. 

Dresden.  Kriippelhilfe,  Home  for  crippled 
children  without  shops.  Mentioned  as 
taking  war  cripples. 

Leipzig.  Courses  in  city  school  for  manual 
training.     Direction,  care  committee. 

Leipzig.  'Technikum'  for  printers  gives  spe- 
cial courses  for  war  cripples.  Direction, 
care  committee. 

Zwickau.  Courses  in  city  schools  for  war 
cripples.    Direction,  care  committee. 

Rosswein.  School  of  Locksmiths  gives  spe- 
cial courses  for  cripples.  Direction,  care 
committee. 

IV.  agricultural  schools 

Baden  (2) 

Villingen.  Course,  theoretical  and  practical, 
fifty-four  men.  Instruction  and  mainte- 
nance free  to  needy  ones,  to  others  only 
instruction.' 

Bavaria  (4) 

Instruction  for  farmers  and  gardeners  at 
Landsberg  am  Lech,  Weihenstephan, 
Weitshochheim,  Neustadt.^ 

'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  380. 
'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1916,  ix,  173. 


Plankstetten.^  Thirty  leg  amputations,  fif- 
teen arm. 

Brandenburg  (2) 

Berlin-Dahlem  Farm  for  two  hundred  pupils 
run  by  city  at  Struveshof  Gorden,  Re- 
serve Hospital.  All  farming  authorities 
and  officials  interested.  Large  farm,  ten 
pupils. 

West  Prussia  (i) 

Grosstarpen,  near  Graudenz.  Farm  gives 
instruction  to  men  under  treatment  at 
Graudenz  military  hospital. 

East  Prussia 

Hindenburgkaus.      Courses  in  bee-keeping 

and  gardening;   military  discipline. 
Allenstein.     Farm  school  at  Kortau  under 

military  discipline. 

Hesse  (i) 

Offenbach .  Gardens  of  city  hospital  and  poor- 
house  used  for  instruction. 

Hanover  (i) 

Schullazarett,  Schwanenburg,  under  mili- 
tary authority. 

Posen  (2) 

Gartnerlehranstalt,  Koschmin. 
Kameradenheim  free,^  non  military. 

Prussian  Saxony  (3) 

Bad  Lauchstedt.  Care  station  specially 
established  to  teach  farming  by  states  of 
Saxony  and  Anhalt.  Has  farmland  and 
machinery. 

Saxony  (Kingdom) 

Leipzig.  Regular  agricultural  institute 
open  for  cripples.* 

Dresden.  Four  weeks'  course  started  by 
Landwirtschaftskammer  and  supported 
by  local  care  committee. 

*  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1917.  x,  324. 

*  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,   1916,  ix,  41-42. 
'  Zeitschrift  fiir  Kriippelfiirsorge,  Leipzig,  1915,  viii,  Monats- 

blatter,  p.  40. 


Number  ij 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


43 


Westfalia  (i) 

Bielefeld.  Bodelschwinghsche  Anstalt,  with 
farm  and  one  hundred  and  sixteen  acres 
of  land. 

SCHLESWIG-HOLSTEIN 

Flensburg,  Segeburg,  farm  schools. 

Brandenburg 

Konigsberg — Neumark,  one  year  course  for 
farmers.  Institute  of  Chamber  of  Agri- 
culture, Brandenburg.  Examinations  be- 
fore Royal  Examination  Board — high 
school  education  required. 

schools  for  the  one-armed 

Alsace  (6) 
Strasburg. 

Baden 

Baden-Baden.  Soldatenheim.  Special  shoe 
machinery  for  one-armed. 

Heidelberg.  School  under  Baden  state  com- 
mittee. Workshops  mentioned  for  lock- 
smiths and  carpenters.' 

Bavaria 

Munich.    (No  further  particulars.)     (8) 
Wurzburg.    State  Deaf  and  Dumb  Institute, 

courses  and  exercises. 
Kaiserslauiern. 
Ludwigshafen. 
Niirnberg. 
Erlangen. 

Hesse-Nassau 

Frankfurt-am- Main.  (No  further  particu- 
lars.) 

Hanover 

Five  masonic  lodges  have  started  one-armed 
school  in  new  institution  for  blind;  it  is 
part  of  military  organization;  soldiers 
sent  directly  from  army  corps.  Instruc- 
tion, clerical  and  commercial.' 


35. 


« Korrespondenz  fur  Kriegswohlfahrlspjlege,  Berlin,  1916,  ii, 

'  Zeitschrift  ftir  Kruppelfiirsorge,  Leipzig,  1916,  ix,  2S,  S7S. 
'  Zeitschrift  fiir  Kruppelfiirsorge,  Leipzig,  1916,  ix,  173. 
•  Zeitschrift  fur  Kruppelfiirsorge,  Leipzig,  1916.  ix,  44. 


Saxony 

Dresden.^"  Vereinslazarett  with  forty  beds; 
farm  instruction  at  hospital;  trade  in- 
struction in  city  schools. 

Chemnitz  ((dist.  xix  army  corps).  Free 
courses  arranged  by  committee  in  city 
technical  and  continuation  schools  and 
grammar  school,  also  orthopedic  work- 
shop." 

Westphalia.  Course  at  Bochum  School  for 
Wounded.^* 


EMPLOYERS    AND  WORKMEN  S  ASSOCIATIONS 
ASSISTING  IN  THE  PLACEMENT  OF  WAR  CRIPPLES 

I.  Employers'  Associations,  members  of  the 
Vereinigung  Deutscher  Arbeitgeberverbande 
(Federation  of  German  Employers' Associations) : 

Federation  of  German  Metal  Manufacturers,  Berlin, 
with  twenty-four  local  associations. 

Arbeitgeberverband  fur  den  Bezirk  der  Nordwest- 
lichen  Gruppe  des  Vereins  Deutscher  Eisen  und  Stahl- 
industrieller  (Employers'  Association  for  the  District 
of  the  Northwest  Group  of  the  Union  of  German  Iron 
and  Steel  Manufacturers) ;  Headquarters,  Diisseldorf, 
with  twelve  branch  associations.  Industrieller  Arbeit- 
geberverband (Industrial  Employers'  Association), 
Hanover. 

Arbeitgeberschutzverband  Deutscher  Schlossereien 
und  Verwandter  Gewerbe  (Employers'  Protective  Asso- 
ciation of  the  German  Locksmiths  and  Allied  Trades) ; 
Headquarters,  Berlin,  with  sixteen  branches. 

Arbeitgeberverband  fiir  Handel,  Industrie  und  Ge- 
werbe (Employers'  Association  for  Commerce,  Industry 
and  Trade),  Konigsberg. 

Ortsgruppe  Stettin  des  Vereins  der  Industriellen 
Pommerns  und  der  benachbarten  Gebiete  (Stettin 
Local  Group  of  the  Manufacturers'  Union  for  Pome- 
rania  and  Environs),  Stettin. 

Arbeitgeberverband  der  Nadelindustrie  von  Aachen 
und  Umgegend  (Employers'  Association  of  Needle 
Manufacturers  for  Aachen  and  Environs),  Aachen. 

Arbeitgeberverband  der  Zentralheizungsindustrie  fiir 
Rheinland  and  Westfalen  (Employers'  Association  for 
the  Steam  Fitters'  Trade  in  Rhineland  and  Westphalia), 
Diisseldorf. 

"  Zeitschrift  fUr  Kruppelfiirsorge,  Leipzig,   191S.   Monats- 
blatter,  p.  40. 
"  ibid. 
"  Zeitschrift  fUr  Kruppelfiirsorge,  Leipzig,   1917,  x,  77. 


44 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


Series  i 


Genossenschaft  selbstandiger  Gold,  Silber  und 
Metallschlager  fiir  Dresden  und  Umgegend  (Association 
of  Independent  Gold,  Silver  and  Metal  Workers  for 
Dresden  and  Environs),  Dresden. 

Verband  Deutscher  Zentralheizungsindustrieller 
(Union  of  German  Steam  Fitting  Industries),  Berlin. 

2.   Workmen's  Associations: 

Arbeitsgemeinschaft  fiir  das  einheitliche  Angestell- 
tenrecht. 

Soziale  Arbeitsgemeinschaft  der  kaufmannischen 
Angestellten  (Arbitration  Board  for  Mercantile  Em- 
ployees). 

Deutscher  Werkmeister-Verband  (Union  of  Master 
Workmen). 

Generalkommission  der  Gewerkschaften  Deutsch" 
lands  (General  Commission  of  the  German  Unions). 
Socialist. 

Gesamtverband  der  christlichen  Gewerkschaften 
Deutschlands.  (Federation  of  German  Christian 
Unions.) 

Verband  der  deutschen  Gewerkvereine  Hirsch- 
Duncker.    (Federation  of  German  Unions.) 

VI 
authorized  land  settlement  societies 

Alsace-Lorraine 

Anhalt 

Baden 

Bavaria 

Landessiedlungsstelle  in  Ministry  of  Interior 
to  supervise  whole  matter. 

Brandenburg 

Berliner  Baugenossenschaft.  Furnishes  land. 

Eigene  Scholle.    Frankfurt  a.  Oder. 

Berliner  Siedlungsgenossenschaft. 

Gross  Berlin.  Ausschuss  fiir  Ansiedlung 
Kriegsbeschadigter.  Supplies  no  land  of 
its  own,  merely  acts  as  go-between  in 
making  arrangements.  Organized  by 
burgomaster,  secretary  of  state  andlandes- 
direktor. 

Brunswick 

Free  Cities 

Hesse  (Darmstadt) 

Zentralwohnungsverein. .  Supplies  land  and 
houses. 


Hesse-Nassau 

Hessische  Siedlungsgesellschaft,  Kassel.  For 
information. 

Hanover 

Hannoversche  Siedlungsgesellschaft  (official 
for  whole  province). 

Lippe 

Mecklenburg 

Mecklenburgsche  Ansiedlungsgesellschaft.  For 
information. 

Oldenburg 

Oldenburg.  Grossherzogliche  Verwaltung  des 
Landeskulturfonds. 

Pomerania 

Pommersche  Landgesellschaft  (official  for 
whole  province). 

Posen 

Konigliche  Ansiedlungs  Kommission  fiir  Po- 
sen und  West-Preussen.  Gutsbetrieb  mit 
Kriegsbeschadigten  on  estate  near  Brom- 
berg.  Men  trained  to  agriculture  and 
paid.  Supported  by  care  committee,  war 
and  agriculture  ministries  and  farm 
machine  industries. 

Prussia 

Konigsberg.  Ostpreussische  Landgesellschaft 

(information). 
Gerdau.      Gerdauer    Siedlungsgesellschaft. 
Land  and  houses  near  Gerdau. 

Prussia  (West) 

Konigliche  Ansi^dlungskommission  fur  Po- 
sen und  West-Preussen. 

Rhineland 

Siedlungsgesellschaft  for  whole  province  to 

be  founded  by  Landwirtschaftskammer. 
Rheinisches-Heim   Gesellschaft.       Provides 

land  and  houses.    Union  of  many  private 

societies.     Bonn. 

Saxe-Altenburg 

Saxe-Coburg-Gotha 

Saxe-Meiningen 

Saxe-Weimar 

Weimar.  Thuringische  Landesversiche- 
rungsanstalt. 


Number  13 


RED  CROSS  INSTITUTE  FOR  CRIPPLED  AND  DISABLED  MEN 


45 


Saxony  (Province) 

Halle.  Sachsenland  (information). 

Saxony 

Leipzig.  Sachsische  Kriegersiedlungsgenos- 
senschaft.  Has  bought  land  and  built 
houses. 

Frauendank.  Works  with  Heimatdank  look- 
ing up  cases  and  acting  as  intermediary 
agent. 

Chemnitz.  Chemnitzer  Ausschuss  f iir  Kriegs- 
beschadigte. 

SCHLESWIG-HOLSTEIN 

Kiel.     Holsteinsche  Hofebank, 

schwarzburg-sondershausen 

Silesia 

Schlesische  Landgesellschaft.  Has  bought 
twenty-one  hectares  and  presented  for 
small  holdings.  Breslau.  Royal  supervi- 
sion. 


Landesversicherungsanstalt.  Lends  money 
for  land  purchased  to  certain  classes  of  in- 
sured persons. 

Neustadt.  City  government  has  bought 
twenty-one  hectares  to  sell  as  small  hold- 
ings. 

Westphalia.    Westfalischer  Verein  zur  Forde- 
rung  des  Kleinwohnungswesens.     Inter- 
mediary official  for  whole  province. 
Miinster.    Siedlungsgesellschaft  Rote  Erde. 

WiJRTTEMBERG 

General  Agencies  for  Whole  Nation 

Deutscher  Verein  fiir  landliche  Wohlfahrts- 
u.  Heimatpflege  has  information  office  for  land 
settlement. 

Auskunftstelle  fiir  Ansiedlungswesen.    Berlin. 

Schutzverband  fiir  deutschen  Grundbesitz. 

Royal  Prussian  'Ansiedlungskommission',  Po- 
sen.  Supervises  all  work  in  Prussia  and  recom- 
mends societies  proper  for  use. 


X 


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