this appointment was only two years after the passage of the hilbert act which called for the , passage and construction of american hospitals, and african-american physicians in the nma, and the philadelphia academy of medical science were very concerned with trying to connect the act to the expansion of existing black hospitals, although this was fraught with a lot of difficulty. nonetheless, it was really the basis and a platform of much of the black public health movement and expansion of black hospitals. for her part, dr. dickens worked to make up the tricks and an ecology at mercy douglass hospital as a modern as she could. and many of the articles that she was doing for the philadelphia tribune, she is talking about the fact of having modern facilities. to her, modern facilities meant that there would be a face and place for the expansion of obstetrics and gynecological care, and that much of the money and fundraising was done largely women who were not necessarily medical practitioners. dickens met only provided a the radical underpinning for cancer prevention, but she also trie