Medicine: Where Are the Straitjackets?

Five days a week, amiable Roland J. Brand, 57, is out of bed by 4:15 a.m. He walks his Doberman pinscher for half an hour, gulps his breakfast (nothing but cold black coffee), picks up a couple of sandwiches that his wife has made for his lunch, and catches the 5:10 streetcar from his home in West Allis, a Milwaukee suburb. From 6:20 a.m. until 3 p.m. Brand works at a job which many people would call tough, unpleasant and underpaid.

Brand is a $220-a-month* attendant at the Milwaukee County Asylum. There, he is...

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