In King Kamehameha IV’s initial speech to the legislature in 1854, the King voiced his desire to create a hospital for the people of Hawai’i. At that time, the continued existence of the Hawaiian race was seriously threatened by the influx of disease brought to the islands by foreign visitors.
Queen Emma enthusiastically supported the dream of a hospital, and the two campaigned tirelessly to make it a reality. They personally went door-to-door soliciting the necessary funding. The royal couple exceeded their goal in just over a month, raising $13,530. In turn, the Legislature appropriated $6,000. (Queen’s)
Hawaiians called the hospital and dispensary Hale Ma‘i o ka Wahine Ali‘i (literally, sick house of the lady chief,) or Hale Ma‘i for short. Opening day was August 1, 1859. (Greer)
“The Queen’s Hospital was founded in 1859 by their Majesties Kamehameha IV and his consort Emma Kaleleonalani. The hospital is organized as a corporation …”
“… and by the terms of its charter the board of trustees is composed of ten members elected by the society and ten members nominated by the Government ….” (Pacific Commercial Advertiser, July 31, 1901)
“(A) number of persons, resident in Honolulu and other parts of the Kingdom have entered into a voluntary contribution, by subscription, for the purpose of creating a fund, for the erection and establishment of a Hospital at Honolulu, for the relief of indigent sick, and disabled people of the Hawaiian Kingdom, as well as of such foreigners, and others, as may desire to avail themselves of the same …”
The “subscribers … resolved that they should associate themselves together as a Body Politic and Corporate, for the purpose of carrying into effect the objects and intentions of the said subscribers …”
“…the following on behalf of the said subscribers were elected by ballot to act as Trustees, on behalf of the said subscribers, viz, BF Snow, SC Damon, SN Castle, CR Bishop, IW Austin, EO Hall, TJ Waterhouse, WA Aldrich, WL Green and H Hackfeld …”
“His Majesty then designated the following ten persons, Trustees, on behalf of the Government, viz, His Royal Highness Prince L (Lot) Kamehameha, David L Gregg, Wm Webster, GM Robertson, TC Heuck, John Ladd, James Bissen, HIH Holdsworth, AB Baker, L John Montgomery.” (Charter of the Queen’s Hospital)
The initial intent was “to establish a temporary Dispensary, with suitable Hospital accommodations at Honolulu, until the permanent Hospital, contemplated by this Charter, shall have been established, and for that purpose, to hire, and furnish, a suitable house premises …
“… also to purchase, or rent, or lease, a suitable site for, and provide for and proceed with the erection, furnishing, establishing and furthering into operation, a permanent Hospital at Honolulu, with a Dispensary, and all necessary furnishings and appurtenances …”
“… for the reception and accommodation, and treatment of indigent, sick, and disabled Hawaiians, as well as such foreigners, and others, who may choose to avail themselves of the same.” (Charter of the Queen’s Hospital)
While there was no specific provision in the hospital’s charter for free medical service to native Hawaiians, “all native Hawaiians have been cared for without charge, while for others a charge has been made of from $1 to $3 per day.” (Pacific Commercial Advertiser, July 31, 1901)
In part, the Hospital was funded with government funds (taxes and appropriations.) On May 13, 1859, the king approved an ‘Act to Aid in the Establishment of Hospitals for the Benefit of Sick and Disabled Hawaiian Seamen.’
It provided that each passenger arriving from a foreign port should pay a tax of $2.00 to the Collector of Customs for the support of such hospitals.
Additional revenue was expected from a tax on seamen sailing under the Hawaiian flag. The Civil Code of 1859 provided that: (1) ship owners or masters arriving from foreign ports should pay twenty-five cents a month for each seaman employed on board since the last entry at any Hawaiian port;
(2) masters of coasting vessels should pay, quarterly, twenty-five cents a month for each seaman employed. The tax was withheld from wages, and funds realized were retained as a ‘Marine Hospital Fund’ for the relief of sick and disabled Hawaiian seamen. (Greer)
However, when Hawai‘i became a US Territory, “‘There is a possibility that the legislative appropriation will be cut off after the first of the year,’ said George W Smith yesterday, ‘but even se we shall have funds enough to get along, although the hospital will be somewhat crippled.’”
“You see there is a provision in the United States Constitution that public property shall not be taken for private use, or that the people shall be taxed to support private institutions.”
“Under the Monarchy and the Republic $10,000 was annually appropriated for its support, but now that the Islands are a part of the United States this sum may be eliminated from the appropriation list.”
“We have already lost the $1 tax which was exacted from everyone who landed on the Islands, which amounted to something over $30,000 annually, and likewise the seamen’s tax, which netted us another $2,000 or more, so with this additional money lost we shall be out a considerable portion of our revenue.” (Pacific Commercial Advertiser, July 30, 1900)
“The Legislature at its last session made an appropriation for the Queen’s Hospital of $40,000, to be used in the next biennial period. This was in line with the previous policy of the Government in making appropriation for the hospital, similar appropriations being made at the same time to other like Institutions.”
“There was, however, one very peculiar incident in connection with the appropriation made for the Queen’s Hospital. In the past the sum of $20,000 had always been given to the hospital for the biennial period, and Governor Dole recommended that the Legislature make the usual appropriation.”
“Instead that body appropriated just double the amount asked, or $40,000. Attached to the bill, however, was a rider providing that no distinction should be made as to race in the care of patients at the hospital.” (Pacific Commercial Advertiser, July 31, 1901)
“Under the provisions of the Organic Act the Legislature has no power to give a subsidy to any institution and, under the construction likely to be placed by the Board of Health of the intentions of the Legislature, the Queen’s Hospital must be placed under the control of the Government before it may receive the appropriation of $40,000.” (Pacific Commercial Advertiser, July 31, 1901)
Today, the Queen’s Medical Center is a private, non-profit, acute medical care facility. It is the largest private hospital in Hawaiʻi, licensed to operate with 505 acute care beds and 28 sub-acute beds. The medical center has more than 3,000 employees and over 1,200 physicians on staff.
As the leading medical referral center in the Pacific Basin, Queen’s offers a comprehensive range of primary and specialized care services. (Queen’s)
Since its founding in 1859, The Queen’s Medical Center has strived “to fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.” (Queen’s) (The image shows the original Queen’s Hospital in 1860.)
Follow Peter T Young on Facebook
Follow Peter T Young on Google+
Follow Peter T Young on LinkedIn
Follow Peter T Young on Blogger
