In the letter, Osler tells Jacobs that he has heard from philanthropist Henry Phipps regarding the anti-tuberculosis work being done in Baltimore. Phipps told him, "The more I see of the men at the Hopkins, the more I feel that they have got the right way of doing things." Phipps had given generous support to Lawrence Flick's pioneering TB work in Philadelphia, and in 1903 gave Johns Hopkins $20,000 to create a special tuberculosis dispensary. This allowed an expansion of the work that Osler had started in 1898 when he set up a program for the special study of TB.
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