The report of the Royal Commission on the South African war takes up at some length the question of the medical management. While this subject has been treated by the special commission in 1900, they nevertheless again discuss it and find occasion for criticism of some defects similar to those which were developed in our brief Spanish war, such as insufficient personnel, defective sanitary organization, imperfect transportation facilities, etc., and some that we did not hear of, such as antiquated and cumbersome supplies, medicines twenty years old and instruments that should only be found in museums at the present time. We had more excuse for our deficiencies; we had a little army of 25,000, fairly well equipped, but this equipment and personnel could not be extended impromptu over a volunteer army of 250,000. In England they have a standing force of between 200,000 and 300,000 men, much of it in