Note 24 — Chapter XVI

The new royal hospital being reestablished, and all the expenses necessary for its maintenance being provided for in the royal treasury, for its business management and the assistance of the sick there were allotted a steward, a physician, a surgeon, nurses, and the other servants who were deemed necessary; and for its spiritual administration the discalced religious of the holy order of our holy father St. Francis, in the province of San Gregorio of these islands—which arrangement was approved by a royal decree, dated at Madrid, May 20, 1624. It has continued in this manner up to the present century, when, on account of the lack of religious for the Indian villages dependent on the Franciscans, and other just reasons, they were released from the ministry of the said royal hospital, and the government appointed secular priests as chaplains, with a suitable income. The cost of maintaining the hospital in its present condition is reckoned at 6,841 pesos, thus: The chaplain, steward, and physician, at 300 pesos each; the surgeon, 240;24 the chief sacristan, three nurses, one assistant surgeon, the keeper of the wardrobe, the cook, and the doorkeeper, each 96 pesos; with this the ordinary expense, 1,368 pesos. [It also requires] 960 cabans of rice, 384 gantas of cocoanut-oil, and 8,400 fowls; also 2,000 pesos, at which amount the provision for medicines is permanently fixed, and 215 pesos besides, which sum is allotted for the cost of wine for mass, wax, and other expenses which are incurred for the titular feast day, which is All Saints’ day. Interments are made in the royal chapel of this garrison, which also has for the year’s expenses 3,220 pesos more, without counting the extraordinary expenses which are necessary during that time in the hospital, for beds, tents, and other needs, and in the royal chapel for ornaments and the other requirements of the divine worship. In the said royal hospital, without a special order from the superior government no other persons are received, whatever their rank may be, besides the officers and soldiers who are in actual service; and, although some mariners resort to this institution—and these are few, on account of the distance of their residence, which is in Cabite—it has not, either, a ward for women. The steward, the chaplain, and the chief sacristan (who usually is a priest) have their residence in the said hospital, and are continually on duty. The physician and the surgeons are present both afternoon and morning, to visit the sick and give prescriptions for what seems necessary. The nurses and the other servants lack the intelligence which is required [in such work], for those who are occupied in it are poor persons, who have no other situations; and, as the employment is arduous, they do not remain long in it. Several high officials, in discussing this matter, have showed their preference that this responsibility should devolve upon our religious. It is certain that the object of that same institution calls for different service, and might also excuse some [further] expense to his Majesty; but as this depends upon the royal command, it has not proceeded beyond mere talk.