They are not simple and formulated; they are complex and confused.

Very often the establishment of a medical mission turns upon no more thorough examination of the facts of the situation than the conviction of a capable missionary that there is need for medical work in his district, and that he must supply it if he can, and that he must persevere in appeals till he can supply it.

When a man asks: "On the basis of what facts ought this or that to be done in the mission field ?" he has got a long way into the complexity of the problem, and the need for survey, if a society is to act with wisdom, is already apparent to him.

But most men in the past have acted simply, without much argument: they said, "Here is a need; I can supply it," and the societies were the feeders of such men.Naturally.So one hospital and a doctor was the point of a sword which in twenty years' time was stuck fast in the rock; and then the hospital was enlarged and became a medical school under the fervent direction of a doctor who was a natural teacher; and then it became an institution, and then part of a college.

And in all this there may have been no definite policy, any more than there was any definite policy in the guidance of its twin brother, which, instead of changing its character, remained what it had always been, the point of a sword, only buried in a rock, competing feebly with a Government institution.