The musings of a physician who served the community for over six decades
367 Topics
Downtown A discussion about downtown area in Philadelphia and connections from today with its historical past.
West of Broad A collection of articles about the area west of Broad Street, Philadelphia, Pennsylvania.
Delaware (State of) Originally the "lower counties" of Pennsylvania, and thus one of three Quaker colonies founded by William Penn, Delaware has developed its own set of traditions and history.
Religious Philadelphia William Penn wanted a colony with religious freedom. A considerable number, if not the majority, of American religious denominations were founded in this city. The main misconception about religious Philadelphia is that it is Quaker-dominated. But the broader misconception is that it is not Quaker-dominated.
Particular Sights to See:Center City Taxi drivers tell tourists that Center City is a "shining city on a hill". During the Industrial Era, the city almost urbanized out to the county line, and then retreated. Right now, the urban center is surrounded by a semi-deserted ring of former factories.
Philadelphia's Middle Urban Ring Philadelphia grew rapidly for seventy years after the Civil War, then gradually lost population. Skyscrapers drain population upwards, suburbs beckon outwards. The result: a ring around center city, mixed prosperous and dilapidated. Future in doubt.
Historical Motor Excursion North of Philadelphia The narrow waist of New Jersey was the upper border of William Penn's vast land holdings, and the outer edge of Quaker influence. In 1776-77, Lord Howe made this strip the main highway of his attempt to subjugate the Colonies.
Land Tour Around Delaware Bay Start in Philadelphia, take two days to tour around Delaware Bay. Down the New Jersey side to Cape May, ferry over to Lewes, tour up to Dover and New Castle, visit Winterthur, Longwood Gardens, Brandywine Battlefield and art museum, then back to Philadelphia. Try it!
Tourist Trips Around Philadelphia and the Quaker Colonies The states of Pennsylvania, Delaware, and southern New Jersey all belonged to William Penn the Quaker. He was the largest private landholder in American history. Using explicit directions, comprehensive touring of the Quaker Colonies takes seven full days. Local residents would need a couple dozen one-day trips to get up to speed.
Touring Philadelphia's Western Regions Philadelpia County had two hundred farms in 1950, but is now thickly settled in all directions. Western regions along the Schuylkill are still spread out somewhat; with many historic estates.
Up the King's High Way New Jersey has a narrow waistline, with New York harbor at one end, and Delaware Bay on the other. Traffic and history travelled the Kings Highway along this path between New York and Philadelphia.
Arch Street: from Sixth to Second When the large meeting house at Fourth and Arch was built, many Quakers moved their houses to the area. At that time, "North of Market" implied the Quaker region of town.
Up Market Street to Sixth and Walnut Millions of eye patients have been asked to read the passage from Franklin's autobiography, "I walked up Market Street, etc." which is commonly printed on eye-test cards. Here's your chance to do it.
Sixth and Walnut over to Broad and Sansom In 1751, the Pennsylvania Hospital at 8th and Spruce was 'way out in the country. Now it is in the center of a city, but the area still remains dominated by medical institutions.
Montgomery and Bucks Counties The Philadelphia metropolitan region has five Pennsylvania counties, four New Jersey counties, one northern county in the state of Delaware. Here are the four Pennsylvania suburban ones.
Northern Overland Escape Path of the Philadelphia Tories 1 of 1 (16) Grievances provoking the American Revolutionary War left many Philadelphians unprovoked. Loyalists often fled to Canada, especially Kingston, Ontario. Decades later the flow of dissidents reversed, Canadian anti-royalists taking refuge south of the border.
City Hall to Chestnut Hill There are lots of ways to go from City Hall to Chestnut Hill, including the train from Suburban Station, or from 11th and Market. This tour imagines your driving your car out the Ben Franklin Parkway to Kelly Drive, and then up the Wissahickon.
Philadelphia Reflections is a history of the area around Philadelphia, PA
... William Penn's Quaker Colonies
plus medicine, economics and politics ... nearly 4,000 articles in all
Philadelphia Reflections now has a companion tour book! Buy it on Amazon
Philadelphia Revelations
Try the search box to the left if you don't see what you're looking for on this page.
George R. Fisher, III, M.D.
Obituary
George R. Fisher, III, M.D.
Age: 97 of Philadelphia, formerly of Haddonfield
Dr. George Ross Fisher of Philadelphia died on March 9, 2023, surrounded by his loving family.
Born in 1925 in Erie, Pennsylvania, to two teachers, George and Margaret Fisher, he grew up in Pittsburgh, later attending The Lawrenceville School and Yale University (graduating early because of the war). He was very proud of the fact that he was the only person who ever graduated from Yale with a Bachelor of Science in English Literature. He attended Columbia University’s College of Physicians and Surgeons where he met the love of his life, fellow medical student, and future renowned Philadelphia radiologist Mary Stuart Blakely. While dating, they entertained themselves by dressing up in evening attire and crashing fancy Manhattan weddings. They married in 1950 and were each other’s true loves, mutual admirers, and life partners until Mary Stuart passed away in 2006. A Columbia faculty member wrote of him, “This young man’s personality is way off the beaten track, and cannot be evaluated by the customary methods.”
After training at the Pennsylvania Hospital in Philadelphia where he was Chief Resident in Medicine, and spending a year at the NIH, he opened a practice in Endocrinology on Spruce Street where he practiced for sixty years. He also consulted regularly for the employees of Strawbridge and Clothier as well as the Hospital for the Mentally Retarded at Stockley, Delaware. He was beloved by his patients, his guiding philosophy being the adage, “Listen to your patient – he’s telling you his diagnosis.” His patients also told him their stories which gave him an education in all things Philadelphia, the city he passionately loved and which he went on to chronicle in this online blog. Many of these blogs were adapted into a history-oriented tour book, Philadelphia Revelations: Twenty Tours of the Delaware Valley.
He was a true Renaissance Man, interested in everything and everyone, remembering everything he read or heard in complete detail, and endowed with a penetrating intellect which cut to the heart of whatever was being discussed, whether it be medicine, history, literature, economics, investments, politics, science or even lawn care for his home in Haddonfield, NJ where he and his wife raised their four children. He was an “early adopter.” Memories of his children from the 1960s include being taken to visit his colleagues working on the UNIVAC computer at Penn; the air-mail version of the London Economist on the dining room table; and his work on developing a proprietary medical office software using Fortran. His dedication to patients and to his profession extended to his many years representing Pennsylvania to the American Medical Association.
After retiring from his practice in 2003, he started his pioneering “just-in-time” Ross & Perry publishing company, which printed more than 300 new and reprint titles, ranging from Flight Manual for the SR-71 Blackbird Spy Plane (his best seller!) to Terse Verse, a collection of a hundred mostly humorous haikus. He authored four books. In 2013 at age 88, he ran as a Republican for New Jersey Assemblyman for the 6th district (he lost).
A gregarious extrovert, he loved meeting his fellow Philadelphians well into his nineties at the Shakespeare Society, the Global Interdependence Center, the College of Physicians, the Right Angle Club, the Union League, the Haddonfield 65 Club, and the Franklin Inn. He faithfully attended Quaker Meeting in Haddonfield NJ for over 60 years. Later in life he was fortunate to be joined in his life, travels, and adventures by his dear friend Dr. Janice Gordon.
He passed away peacefully, held in the Light and surrounded by his family as they sang to him and read aloud the love letters that he and his wife penned throughout their courtship. In addition to his children – George, Miriam, Margaret, and Stuart – he leaves his three children-in-law, eight grandchildren, three great-grandchildren, and his younger brother, John.
A memorial service, followed by a reception, will be held at the Friends Meeting in Haddonfield New Jersey on April 1 at one in the afternoon. Memorial contributions may be sent to Haddonfield Friends Meeting, 47 Friends Avenue, Haddonfield, NJ 08033.
Haddonfield, New Jersey is named after Elizabeth Haddon, a teenaged Quaker girl who came alone to the proprietorship of West Jersey in 1701 to look after some land which her father had bought from William Penn. Geographically, the land was on what later came to be called the Cooper River, and it must have been a scary place among the woods and Indians for a single girl to set up housekeeping. It was related in the "Tales of a Wayside Inn" that Elizabeth proposed to another young Quaker named John Estaugh. Because no children resulted, she sent to her sister in Ireland to send one of her kids, a girl who proved unsatisfactory. So the kid was sent back, and Ebenezer Hopkins was sent in her place. Thus we have Hopkins pond, and lots of Hopkins in the neighborhood ever since. Eventually, the first dinosaur skeleton was discovered in the blue clay around Hopkins Pond, and now can be seen in the American Museum of Natural History, so you know for sure that Haddonfield is an old place. Eventually, the Kings Highway was built from Philadelphia to New York (actually Salem to Burlington at first) and it crosses the Cooper Creek near the old firehouse in Haddonfield, which claims to house the oldest volunteer fire company in America, but not without some argument about what was first, what is continuous, and therefore what is oldest. Haddonfield is, in short, where the Kings Highway crosses the Cooper, about seven miles east of City Hall in Philadelphia. The presence of the Delaware River in between makes a powerful difference since at exactly the same distance to the west of City Hall, is the crowded shopping and transportation hub at 69th and Market Street. Fifty years ago, Haddonfield was a little country town surrounded by pastures, and seventy years ago the streets were mostly unpaved. The isolation of Haddonfield was created by the river and was ended by the building of the Benjamin Franklin Bridge in 1926. If you go way back to the Revolutionary War, the river created a military barrier, and many famous patriots like Marquis de Lafayette, Dolley Madison, Anthony Wayne and others met in comparative safety from the British in the Indian King Tavern. In a famous escapade, "Mad" Anthony Wayne drove some cattle from South Jersey around Haddonfield to the falls (rapids) at Trenton, and then over the back roads to Washington's encampment at Valley Forge. In retaliation, the British under Col John Simcoe rode into nearby Salem County and massacred the farmers at Hancock's Bridge who had provided the cattle. At another time, the Hessians were dispatched through Haddonfield to come upon the Delaware River fortifications at Red Bluff from the rear. Unfortunately for them, they encamped in Haddonfield overnight, and a runner took off through the woods to warn the rebels at Red Bank to turn their cannons around to ambush the attackers from the rear, who were therefore repulsed with great losses. These stories are told with great relish, but my mother in law found out some background truths. Seeking to join the Daughters of the Revolution in Haddonfield, she was privately told that the really preferable ladies' the club was the Colonial Dames. Quaker Haddonfield, you see, had been mostly Tory.
Alfred Driscoll
A local boy named Alfred Driscoll became Governor of New Jersey, but before he did that he was mayor of Haddonfield. He had gone to Princeton and wanted to know why Haddonfield couldn't look like Princeton. All it seemed to take was a few zoning ordinances, and today it might fairly be claimed that Haddonfield is at least as charming and beautiful as Princeton, maybe nicer. At the very least, it has less auto traffic. Al Driscoll went on to be CEO of a Fortune 500 pharmaceutical corporation, and everyone agrees he was the world's nicest guy. The other necessary component of beautiful colonial Haddonfield was a fierce old lady who was married to a lawyer. Any infraction of Al's zoning ordinances was met with an instant attack, legal, verbal, and physical. A street-side hot dog vendor set up his cart on Kings Highway at one time, and the lady came out and kicked it over. If you didn't think she meant business, there was always her lawyer husband to explain things to you. She probably carried things a little too far, and one resident was driven to the point of painting his whole house a brilliant lavender, just to demonstrate the concept of freedom. Now that she and her husband are gone, the town continues to be authentic and pretty, probably because dozens of other citizens stand quietly ready to employ some of her techniques if the need arises.
JWilliam White left a legacy to the Franklin Inn, the income from which was to pay for an annual dinner, with all the trimmings. Good as its word, the Inn holds the J. William White dinner every year on Benjamin Franklin's birthday, although inflation and fluctuations of the stock market require it to make a modest charge for attendance. White also created the J. William White Professorship in Surgery at the University of Pennsylvania, a chair which was once occupied by Jonathan Rhoads.
William J White MD
These trust-fund memorials do little to convey the wild and glamorous image of Bill White. White was a member of the First City Troop and fought the last known honest-to-goodness duel on Philadelphia's field of honor (in the accidental "wedge" of disputed land between Delaware and Pennsylvania). The right and wrong of the argument about wearing the City Troop uniform are in dispute, but the details boiled down to White at the critical moment raising his gun to the sky and firing at the stars. That it was not a meaningless gesture was then brought out by his opponent ( a fellow Trooper named Adams) taking slow and deadly aim -- but missing him.
White was an academic in the sense that he was the first, unpaid, Professor of Physical Culture at the University of Pennsylvania. Active in the Mask and Wig Club, he was a chief surgeon at Philadelphia General Hospital, chief surgeon to the Philadelphia Police, and chief surgeon to the Pennsylvania Rail Road. He is the surgeon actually operating in Thomas Eakins' Agnew Clinic, while Agnew himself stands as the "rainmaker", to use a term from legal circles. He was Chairman of the Fairmount Park Commission, and numerous other positions where political contact was more important than surgical skill. When World War I came along, he was off to France with the University of Pennsylvania Hospital Unit, writing two books with Theodore Roosevelt. Although his friendship with Henry James suggests greater literary talent, he was supportive of Adams' transfer of citizenship in protest of America's staying out of World War I; but nonetheless, Roosevelt published more than thirty books. What emerges from the history of Bill White is flamboyance and lots and lots of unfettered energy. He might feel a little out of place at one of his endowed dinners today, but he was probably always a little out of place in any company -- and didn't care a whit.
REFERENCES
Philadelphia Gentlemen: The Making of a National Upper Class: E. Digby Baltzell ISBN-13: 978-0887387890
Until this year, there was a Beautiful Mall stretching north from the State House (Independence Hall) to the approaches of the Benjamin Franklin Bridge. Concealing an enormous parking garage underneath it, the surface looked like a several-block lawn lined with flowering trees in the spring, framing the beautiful Eighteenth Century building (just as the mall in Washington leads up to the Washington Monument.)
Stretching from Independence Hall east to the Delaware River is another mall filled with historical buildings like Carpenters Hall , the First Bank(Girard's) and Second Bank (Biddle's), the Old and the New Custom houses, the American Philosophical Society, and others. The eastern mall was the property of the State of Pennsylvania when it was created, but it soon seemed more economical to the frugal rural legislature to turn it over to the federally funded National Park Service, joining the mall stretching northward. Well, somebody got another ton of federal money appropriated, and now we are filling the north mall with buildings which largely hide Independence Hall from the passersby. With just a few more Congressional earmarks, the imposing beauty of the mall will be submerged, but it hasn't quite reached that point yet. There is a perfectly enormous New Visitors Center, containing a couple of auditoriums and a big bookstore. Mostly the concept seems to be to provide a place to get out of the rain if you are an out of town visitor, provide public bathrooms, and a place to get a hot dog. At least the visitors center is red brick, and arched, with white woodwork. At the far northern end is an overwhelming stark granite block of a building, which will open July 4, 2003. It is a Constitution Center, claimed to be an interactive museum, and we shall see what we shall see. The looming monolith overwhelms and blocks the view to Independence Hall, and it better be good, when the insides get finished.
Free Quaker Meeting
If Independence Hall, which after all is a block long, is overwhelmed by the new constructions, the Free Quaker Meeting is totally hidden. This perfectly charming Eighteenths Century Quaker meetinghouse is just across Fifth Street from Benjamin Franklin's Grave, and just across Arch Street from the Constitution thing, completely in its shadow. Charles E. Peterson designed the restoration of the building, which had been added to and detracted from, over the years, but you can be sure its interior is now both beautiful and authentic. Before you go in, notice the inscription on the plaque under the northern eaves:
By General Subscription for the FREE QUAKERS. Erected in the Year of OUR LORD 1783 and of the EMPIRE 8.
The Quakers who built this building seem to have thought they were part of a new empire, but that implies an emperor, and of course, one was never created. Three years after the dedication of this building the Constitutional Convention met in the same Independence Hall, and our national form of government was somewhat strengthened from the Articles of Confederation also written here. Benjamin Franklin had a hand in both documents, but the first one was mainly composed by John Dickinson, and the second one by James Madison. If you go into the Free Quaker building, it seems to be a single large room with an interior balcony, and a couple of small staircases in the back leading down to what would presumably be restrooms. As a matter of fact, the Park Service extended the basement to include kitchen and dining room, and several offices for themselves which are a surprise if you are allowed to go down to see them.
History of Free Quakers
Charlie Peterson wrote a book about the restoration, but the main book about the spiritual history of this group was written by Charles Wetherill. Quakers, as everyone ought to know, are pacifists. The American Revolution put a number of them in a quandary because they agreed that Great Britain was injuring their rights by denying them a representative in the Parliament which ruled them but resorting to violence was another matter entirely. Eventually, a group did break away from the main Quaker church to fight for independence. They were prompt "readout of the meeting", the equivalent of being excommunicated, not allowed to worship in the regular meeting houses they had helped finance or to be buried in the church graveyards. Samuel Wetherill was one of the leaders of this group, just as his descendants are the most active today in the surviving historical society. Samuel created quite a furor, demanding to use the Orthodox meeting house and burial grounds. He was, in his own view, just as much a Quaker as the others since no doctrine is absolutely fixed in that religion, and was freely entitled to speak his mind to persuade others of the rightness of his sincere positions. The main body of Quakers would have none of it, and the Free Quakers were firmly expelled, forced to hold a public subscription and build their own meeting house. Wetherill of course personally knew every one of the members who expelled him, and there may be some truth to his loud, pointed and unchallenged contention that the true division was not between pacifists and fighters, but between Tories and advocates of Independence. Whatever the truth of these accusations, it does seem in retrospect that the split was fairly divided between wealthy established merchants, and small shopkeepers and artisans. Quite a few now-famous names appear on the rolls of the Free Quakers, like Timothy Matlack the actual Scribe of the Declaration of Independence document, Biddles, Lippincott, John Bartram,Crispins, Kembles, Trippes, and Wetherills. When the meeting had dwindled down in 1830 to two lone parishioners, one was a Wetherill, and the other was Betsy Ross, herself.
A comment is submitted by a reader:
I think your description of the Free Quakers oversimplifies their origins. It is true that Samuel Wetherill was disowned by Friends for his military activities. However, other Free Quaker leaders were bounced -- often years before the Revolution -- for other reasons. Timothy Matlack, for not paying his debts. Betsy Ross, for an improper marriage. Christopher Marshall, for counterfeiting. I haven't traced everyone listed as a member in the (1907?) Stackhouse history of the Free Quakers. But I did search in Quaker records for perhaps a dozen and found no records that people with those names had ever been Quakers. I think it would be more accurate to say of the Free Quakers that the Revolution drew together people of many different types and that when some of those people had things in common -- such as Quaker background -- they united around those things.
(Posted by Mark E. Dixon )
On a pleasant Spring Sunday some time ago, I was at home, doing nothing in particular, when I suddenly experienced severe, crushing pain deep inside my chest. No doubt in my mind what that meant, so I quickly took an aspirin and looked at the clock: 6:50 PM, daylight time. Out the window to my right, my neighbors were having a yard party, so I walked thirty feet over to them. Side-stepping the big Hollywood hello, I told my neighbor I was having a heart attack and would please like a fast trip to the hospital. There was some talk of calling an ambulance, but that was brushed aside. No time.
E-Z Pass Speeds the Trip
Neighbor Charlie took the wheel, a friend got in the back seat, and off we went, fast. About that time, I started to sweat, just like they say in books, but to my surprise only after two or three minutes of the pain. The pain continued unchanged. Luckily, on Sunday evening, traffic was light. Down the main road to Benjamin Franklin Bridge, through the gate with E-Z Pass, over the bridge, turn left. I asked the man in the back to call the Emergency Room on his cell phone to tell them I was coming in, please get the cardiac intervention team to come to meet me at the hospital in a few minutes. We made one wrong turn on a one-way street, adding three blocks to the ride. I knew better but didn't feel equal to protesting. We were soon at the right door, and then into the reception area of the Emergency Department. This area is almost brand new; the first time I had been there. But I had been all over that hospital every day for years at a time, and for two years had been the Physician in charge of the Emergency Room, myself.
Electrocardiogram
I didn't recognize the nice lady at the desk, who wanted to know my next of kin, Medicare number, other insurance coverage, the color of my eyes, the name of my dog. My companions are very large fellows, and I was about to tell them to be polite, but if necessary knock her down, when actually I said the magic words,"Severe chest pain". That was part of her standard protocol, apparently, since I was immediately ushered onto a stretcher through a side door, had an electrocardiogram, watched the resident pick up the phone to call the cardiac team. Then I waved off somebody's informed consent speech to the effect that I didn't just consent to, but in fact, demanded an angioplasty. My clothes were taken away, intravenous lines were placed, ice-cold antiseptics were swabbed around. I was shaved in a business-like way in what the lady cutely called a Mohawk. The surgeon appeared, started his own informed consent speech which was waved off. The locks on the wheels were kicked loose, the stretcher started for the elevator, surrounded by scrambling attendants holding bottles. When we came to rest under a big light in some ceiling, I looked at the large wall clock. It was 7:20 PM. That was exactly thirty minutes after the pain began.
Cardiac Catheter
I was more or less awake during the whole procedure, getting to watch the dark black line of the catheter moving around on the scope beside me. I didn't know this particular surgeon, but it was obvious he was good. Usually, you can watch the catheter tip advance, then pull back, try again, pull back, try again and hit an obstacle. This evening I had the joy of watching a virtuoso performance, with the catheter smoothly advancing to its destination, twist and come to rest. Black dye squirted out, outlining the artery and its branches. The electrocardiogram correctly predicted the obstruction in the right anterior descending artery, and to general relief, the other atrerieswere "clean".
Probably because I got there so fast, plus swallowing an aspirin at home and chewing several in the Emergency Room, no clot had formed around the obstruction, which apparently was caused by a plaque of cholesterol with a split in it occluding the wall of the artery by bulging into the lumen. There seemed to be no clot behind the plaque or in front of it. The catheter had a stent over the balloon tip, which is to say it contained what amounted to braided chicken wire. The whole contraption gets opened up by inflating the balloon, then deflating and withdrawing it, which allows the artery to be held open by the unfolded chicken wire which remains in place. With the early versions of stents, fibrous scar tissue would grow over the chicken wire and block up the artery a few weeks later. Hence, the stent was coated with a chemical which prevents fibrosis. Unfortunately, this chemical also retards the growth of cells which line an artery on the inside, so coated chicken wire provokes clots. While I was still in the operating room, the solemn incantation was begun: I must take an anti-clotting drug every single day for a whole year, and if I missed a single pill, I could immediately die. I was to hear this incantation twenty times, so I guess they really mean it.
On a scale from 1-10, how bad is it?
Well, I was asked to call out a number from one to ten, indicating severity of chest pain. It had been "three" when I got to the operating room, even though it had begun as a "seven", and rose to "seven" several times during the procedure. Seven was my own invention; if I had to ask for pain-killer it was going to be an eight and would get to nine if I had to cry out. It never got worse than seven. When they pulled the catheter out of my groin, it was zero. It has stayed zero ever since.
It was a cause of some interest that my enzymes never rose. When heart muscle is injured, characteristic enzymes leak out and appear in blood tests; you can more or less measure the extent of the damage by the level it reaches. I had reached the emergency room so quickly the enzymes had not had a chance to rise. And the artery was re-opened so soon, they never did rise. For the first time in my life, my blood pressure was 250, so I guess I wasn't as calm as I let on. Somewhere during the procedure, the sweating stopped.
Severe chest pain
So, off to the cardiac care ward, where the custom is for each attendant to write his or her name on a whiteboard, while the date and time are prominently displayed for continuing orientation. They give you a phone so you can call your nurse, but my suggestion is to offer earplugs to drown out the continuous chatter at the desk. A patient of mine once called it the Racket Club. The food is, well, hospital food. Protocol says it should have no salt. I discovered that breakfast arrives on the dot at 9 AM, supper on the dot at 5 PM, lunch somewhere in between. I believe I understand the reasoning. Two days of this, and I'm discharged. Nothing to it, if you get there fast. Let me repeat, if you get there fast.
Since this light-hearted day trip is in sharp contrast with the six weeks of strict bed rest so routine in the days of my internship, not to mention the considerable mortality and disability that prevailed until quite recently, it justifies some reflection. As a medical student, I knew Andre Cournand and Dickenson Richards, who perfected the cardiac catheter. They were awarded Nobel Prizes, as was Michael Brown, who invented the statin drugs to lower cholesterol. Affable and modest men, they have saved millions of lives, now including mine. Or at least they did so, with the assistance of thousands of other doctors who perfected one by one the details of the little minute we danced in the operating room, each adding some little refinement, or eliminating some little hindrance to success. But, doggone it, you have got to get to the hospital fast.
Helicopter Dreams
To do that, you have to give it some thought in advance; some community organization would also be useful. In my case, waiting for an ambulance would have slowed me down. Not everybody can live within a few minutes fast drive of a hospital, and not all hospitals are equipped to handle such cases. The range of effective rescue could be extended with helicopters, but you have to give some thought to where you would have to drive to find a place for a helicopter to land. Philadelphia is almost unique in having the largest evacuation company in the world, headquartered in Trevose, but it would take a lot of negotiation to arrange a system for the whole Philadelphia area. It just happens my oldest son was helicoptered off a mountain in Nepal this year (by an affiliate of this company), but his helicopter almost ran out of gas. These things can be done, and yearly evacuation insurance is about $200 a year, anywhere in the world. But it would take an awful lot of community planning and argue -- and maybe suing -- to make it happen. Is it worth it? Sure, but a little hard thought in advance might offer better solutions for most people.
The finances of our new nation were subject to many violent swings from the day the British abandoned Philadelphia in 1778 right up to the end of the war in 1783, but things steadily turned for the better after Robert Morris took charge of the Department of Finance in 1780, and particularly a year later when he was given the confusing title of Financier. Those two-mile stones could be marked in another way; with the establishment of the Bank of Pennsylvania in 1780, and then a year later the Bank of North America. Both institutions were products of the Morris imagination, matching the evolving state of his thinking. But the politicians only permitted these innovations after bitter battles, so in a sense, they matched what he could accomplish politically, in two steps grudgingly forced on him by the world's reluctance to trust his ideas. It remains unclear which innovations originated with Robert Morris, and which ones were derived from the Swiss economist Jacques Necker, who had become the French Minister of Finance, or Adam Smith whose Wealth of Nations was published in 1776. There were obvious similarities in the approach of these men, and a means of communicating existed through Silas Deane in Paris. Curiously, Necker was primarily famous in Europe for shrinking the bloated and corrupt bureaucracy of French financial administration. It is not irrelevant that whenever clear thinking replaces floundering, waste and abuse begin to subside.
The First Pennsylvania Bank
The Pennsylvania Bank of 1780, unrecognizable today as a "bank", resembled a modern bond fund, operated as a partnership. It initially raised 300,000 pounds mainly from wealthy merchants, in return for interest-bearing 6-month notes. That money was promptly used to buy 500 barrels of flour for the troops at Morristown NJ. The bank thus served to transfer private funds to public purposes, which was what a rich nation urgently needs when its troops are starving.
It is always difficult to propose new ideas; in this case Morris also had to overcome resistance to taxes, which many citizens thought the Revolutionary war was all about. Taxation is, undeniably, a form of confiscation. When danger is clear at moments of panic, voluntary contributions may suffice; it is then almost sufficient to pass the hat. Soon enough, however, the government needs to increase incentives to induce the public to take the risk, hence interest rates offered by the bank must become market-driven, responding to negotiated public opinion. In short catastrophic wars for survival, a nation can gambles all its resources heedlessly. But steadily financing an eight-year war ultimately becomes a constant search for acceptable ways to transfer enough private wealth to cover the military effort, but not enough to stir up inflation. Floating interest rates, ultimately based on prevailing public opinion, do offer a match with changing prospects for victory or defeat, but only when they are not tampered with. Mismatches between public opinion and interest rates might seem tempting short-cuts to government, but they lead to inflation, price controls, rationing, and shortages of goods.
There is nothing more difficult to take in hand, more perilous to conduct, or more uncertain of success, that to take the lead in the introduction of a new order of things.
Niccolo Machiavelli --The Prince
In the United States in 1780, a huge disparity between the sudden wealth of privateers, and the abject poverty of Washington's army provoked trouble. At a time when the army was barefoot, Robert Morris' personal wealth was estimated at eight million dollars, but it seems likely the contrast between barefoot soldiers and free-spending privateer sailors was even more divisive since recruitment preferences were affected. The government tried many things: inflation default, devaluation default, confiscations, and even a few timid taxes. That duty was even proposed in Congress to be levied on the prize captures of privateers, suggests the public was alert to windfall profits. But it seemed oblivious to the principle that if you tax something, you get less of it; Congress was effectively proposing to punish the capture of British ships.
The idea of some sort of bank first came to Robert Morris less than a week after he stepped forward into the rioting streets to offer ten thousand pounds of his own money for assistance to the army, and induced several dozen of his friends to be similarly generous. It was not only necessary, but it was also nation-saving. In the previous ten months, the Continental dollar had been devalued forty to one, and then later 65 to one. No one would trust such a currency, whose consequence was certain to be a military disaster. But Morris obviously also knew that winning a war run by private subscription was unlikely to last much longer than one which depended on inflated paper currency and price controls. Petaliah Webster, a brilliant economist for the day, published pamphlets sarcastically comparing price controls to the religious conversion of a prisoner on a torture rack.
Therefore, passing the hat was also only an expedient. A week later Morris reorganized the concept to be The Pennsylvania Bank, where variable interest rates would induce reluctant lenders to lend. It was perhaps one or two steps better than losing the war, but it was primitive and limited. So, although Morris had originally opposed the war for independence, and the public certainly wasn't thrilled with taxes, market-driven interest rates were about all the Continental Congress would tolerate, as a compromise between confiscation and begging. The principle of free-market interest rates worked, in the sense that the army was able to fight on for several more years, but ultimately the soldiers revolted for lack of pay. It was notable that the Pennsylvania Line led the mutiny, or protest march, from Newburgh NY to the doors of Congress, and George Washington came close to giving the troops his tacit approval.
The Bank of North America
Well before matters came to that crisis, The Bank of North America, similarly attracting risk money by paying interest, was established in 1781 with an additional feature of generating side revenue through commercial 30-60 day loans. It was brilliant politics since Congress (with difficulty) agreed to permit a private company to engage in commerce but would never have tolerated the government doing so. When the goal is to transfer money from the private sector to the public one, the public insists on the ability to limit the amount. Otherwise, the transfer is a confiscation. Morris soon realized there was a missing third step. If the wealth of the nation was pledged to repay the war debts, creditors would insist on knowing the government's plans for repayment in case the bank couldn't do it. With the states retaining the right to tax but refusing the Federal government the right to tax without permission, the bonds of the Bank of North America were riskier for investors than they needed to be. In the difficult later years of the war, dependence on French loans began to look unwise, so the inability of the Federal government to confiscate private assets began to worry creditors. Somehow, Morris seemed to think the unratified Articles of Confederation were the problem and forced their ratification five years late. It didn't help matters, however, finally making it clear that the debt problem could not be solved without a new Constitution. When the soldiers did start to revolt, it became absolutely necessary to do something. Ultimately, the Constitutional Convention of 1787 was the result. In the meantime, the United States almost did collapse after the Battle of Yorktown (1783), and the French Revolution of 1789 is plausibly blamed in large part on our failure to repay the huge French financial support of our independence. A nation which pledges its full faith and credit behind war bonds must somehow convince its creditors that it intends to repay its bondholders, almost as fully as it intends to survive the war.
of pledging the full faith and credit of the nation through imposing taxes as lender of last resort. You don't need to pay for the whole war with loans, but you do need to reassure creditors that you will tax to repay your debts rather than default on them. That is, loan repayment is placed "ahead" of taxation. If even that structure proves inadequate, well, your war is simply not winnable because it provokes a dissolution of the government. The American public in 1781 did not need to understand the logic; it had just watched the process in grisly action. The public would not accept banks backed by federal taxation except as a wartime expedient, and therefore Robert Morris failed in his most important proposal. Although he continued to press for this essential feature for nine more years until it finally succeeded, a second near-miracle was that he kept the nation solvent in the meantime. He achieved this with a breath-taking combination of expedients, energy, ingenious fixes, and bluff. But the Treaty of Paris did not come a day too soon. In characteristic fashion, he did a quick about-face and proceeded to manage a huge personal fortune during a post-war convulsion.
In late 1779, before Morris would accept the job of rescuing the finances of the floundering new Republic, however, he meant to set some things straight. Congress must therefore first agree:
-- That Robert Morris would not accept the job unless Congress agreed that he could retain all of his private partnerships. Ben Franklin had warned him how ungrateful the public could quickly become, and what a short memory it had for those who performed favors. The Congress was infuriated by such demands, but Morris was adamant. Lucky for him that he was, because his enemies soon emerged with that age-old question, "Yes, but what have you done for us, lately? "
-- That Morris has the power to dismiss any and all persons concerned with public finances and the public tender laws, for a cause.
--That it was acknowledged that he assumed responsibility only for new debts, not those which preceded his taking office.
-- That he has the right to delay taking the oath of office, retaining his seat in the Pennsylvania Legislature, until the relationship was clarified to give him effective control of state finances.
It can be imagined how displeased the Congress was with these high-handed stipulations, but they agreed to them.
Within three days of assuming office,
-- Morris announced plans for the Bank of North America, our first true bank.
-- Asked two personal friends, Thomas Lowrey, and Philip Schuyler, to buy one thousand barrels of flour on their own credit. He added, "I must also pledge myself to you, which I do most solemnly as an Officer of the Public. But lest you like some others believe more in private than in public credit I hereby pledge myself to pay you the cost and charges of the flour in hard money."
-- Argued eleven points against the issuance of more paper money, particularly its requirement to be accepted as legal tender: "Because the value of money and particularly of paper money, depends upon the public confidence, and where that is wanting, laws cannot support it, and much less penal laws. . . Penalties on not receiving paper money must from the nature of the thing be either unnecessary or unjust. If the paper is of full value, it will pass current without such penalties, and if it is not of full value, compelling the acceptance of it is iniquitous."
-- Arranged for the sale of western lands, to raise money.
-- Acknowledged the Army was owed its back pay.
-- Changed the War, Marine, Treasury, Foreign Affairs from committees of Congress to permanent departments.
109 Volumes
Philadephia: America's Capital, 1774-1800 The Continental Congress met in Philadelphia from 1774 to 1788. Next, the new republic had its capital here from 1790 to 1800. Thoroughly Quaker Philadelphia was in the center of the founding twenty-five years when, and where, the enduring political institutions of America emerged.
Philadelphia: Decline and Fall (1900-2060) The world's richest industrial city in 1900, was defeated and dejected by 1950. Why? Digby Baltzell blamed it on the Quakers. Others blame the Erie Canal, and Andrew Jackson, or maybe Martin van Buren. Some say the city-county consolidation of 1858. Others blame the unions. We rather favor the decline of family business and the rise of the modern corporation in its place.