In addition to these measures, which are common to all proposals and working systems for the control of sexual disease, certain other recommendations may be classed as debatable, inasmuch as they are still under discussion and have been incorporated into some and omitted from others.  These are as follows: 

1.  General instruction in personal prophylaxis for the population at large.

2.  Compulsory measures and penalties obliging patients to receive treatment and continue it until cured, regardless of their own desires in the matter.

3.  Notification or reporting of cases of sexual disease to the health authorities.

4.  Indirect legislation, as it might be called, which aims to detect infected persons before they enter on marriage rather than at the outset of the disease, either by releasing the physician in charge of the case from the bond of professional confidence, or by requiring health certificates before marriage, and which annuls marriages after infection is discovered.

+Easily Available Treatment.+—­It will be noticed that toleration of prostitution with supervision has finally disappeared from the modern program for the control of sexual diseases.  The provision for universally available treatment, regardless of the patient’s means or circumstances, should be thought of as the one fundamental requirement without which no program has made even a beginning.  For over a century Denmark has provided for the free treatment of all patients with venereal disease.  The Norwegian law, essentially similar, dates from 1860.  Italy a few years ago adopted a similar program, placing squarely upon the state the responsibility of providing for the care of all patients with venereal diseases.  England has just adopted a mixed provision which will in practice place most of the responsibility upon the state and very little on the individual, as far as the expense of treatment is concerned.  Germany has compelled her insurance companies to shoulder the burden, and under pressure of war is hastening matters by invoking more and more governmental aid.  The recent West Australian Act provides that every medical officer in the pay of the state shall treat venereal disease free of charge.  In comparison with the tremendous advances over previous indifference which such programs represent, this country makes a poor showing.  Among us, no public agency is formally charged with any duty in the matter of preventing, recognizing, or treating the vast amount of venereal infection that mars our national health.  Certain state boards of health are attempting to perform Wassermann tests, and certain municipalities have well-organized laboratories for the detection of syphilis and gonorrhea, but there are few purely public agencies that even pretend to have a specialist in their employ to assist in the recognition of cases and conduct the treatment of patients who cannot afford private care.  Hospital and dispensary treatment of venereal diseases is almost