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Thomas William Simpkin

New York Times Reports
Wednesday 21 April 1920


The following text is copied from the archives of the New York Times and reports events following the murder by Thomas William Simpkin of the prominent New York surgeon, Dr. James W. Markoe.

DR. MARKOE MURDER TURNS EYES TO LAWS
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SEND PLEA TO GOVERNOR
Declare It Is Too Easy for Courts to Disregard Medical Experts - Funeral Today.

As a result of the murder of Dr. James W. Markoe in St. George’s Church on Sunday by Thomas W. Simpkin, an escaped lunatic, a movement is under way to have Governor Smith conduct an investigation of court procedure in insanity cases and to have the State Legislature amend the insanity laws.

Dr. John F.W. Meagher of 220 Brooklyn Avenue, Brooklyn, President of the Brooklyn Neurological Society, it was learned yesterday, wrote to Governor Smith on Monday. He also telegraphed to Senator Charles Lockwood and Assemblyman James F. Bly, urging the introduction of a bill in the State Legislature providing for an immediate investigation of the insanity laws.

Dr. Meagher, who is neurologist at St. Mary’s Hospital and consulting neurologist at Kings Park State Hospital for the Insane and the New York Neurological Hospital, also wrote yesterday to Dr. Smith Ely Jelliffe, the noted psychiatrist, and Dr. Walter Timme, President of the Neurological Society, urging them to bring to the attention of the New York County Medical Society and the Academy of Medicine the need of amending the law. He said that the Brooklyn Neurological Society and the Kings County Medical Society had adopted resolutions urging the reform.

Letter to Governor.

Dr. J. Richard Kevin, President of the State Medical Society, favors amending the insanity laws, said Dr. Meagher. In his letter to Governor Smith Dr. Meagher said :


“The lamentable assassination of Dr. Markoe has again impressed on us all the urgent need of amending our insanity laws. Present procedure permits a man to be discharged if a jury sees fit, even though competent psychiatrists certify under oath - and are willing to bear the civil responsibility for their statements - that the man is insane.

“Both the Brooklyn Neurological Society and the Medical Society of the County of Kings urgently recommend that the insanity laws be amended. The Kings County Society is the third largest medical society in the United States. Would you kindly let me know if the Legislature could not take the subject up at once?”


One defect in the present law which it is sought to remedy concerns the court procedure which permits a Judge to discharge a man after an examination lasting a minute, although the man may be insane and sworn testimony to this effect is given by trained specialists. Dr. Meagher said this was by no means a mythical case, and he produced a court record showing that a Judge asked a man before him: “Are you insane?” and when the man said “No” he was discharged despite the fact that careful examination by physicians indicated that the man was unbalanced. In another case a judge decided a man was not insane because his eyes were “too bright” for those of an insane man.

Under the present law a physician must fill out a lengthy paper giving in detail his reasons for adjudging a person insane. This document or petition is presented to the court for signature, so that the person may be committed. There is no provision requiring the Judge to give his reasons for disapproving the petition and turning the suspect back. Psychiatrists desire to have the law make it necessary for Judges to state their reasons for refusing to commit persons adjudged insane by physicians. In this way, it was said, responsibility for freeing those who subsequently commit overt acts could be placed where it properly belonged.

Would Curb Judges’ Power.

At the present time according to Dr. Meagher, Judges have unlimited power in insanity cases, and many do not want this responsibility because of a realization of the scientific knowledge required to judge these cases. It is sought to amend the present laws to make it mandatory for Judges to be guided by psychiatrists and, if they refuse to sign commitment papers, to give their reasons for judging persons sane.

Although the present law specifies certain exceptions that can be made in the handling of cases of insane persons, arbitrary acts of some Judges, it was said, sometimes result in suicide or flight of the suspected person and nothing may be heard of the case again until an overt act is committed. The law says that persons on whose behalf a petition is presented to the court shall be notified personally at least one day before the petition is presented. The court may dispense with personal service, but this is frequently refused, it was said, even though the physician says that personal service might be dangerous or foolhardy.

The present law is held by some psychiatrists to be an unwise mixture of legal and medical authority. Dr. A.A. Brill believes that reform in the laws are necessary. Cases of paranoia are most difficult for experts to decide, he said, and almost impossible for a jury of laymen to pass on. He told of a case in which a man was adjudged insane after ten days’ observation by six physicians. His friends believed he was sane and took the case to court. It took a jury ten minutes to decide the man was sane. He was freed and went to Canada, where he committed an overt act. He was arrested and is now in an asylum.

The funeral of Dr. Markoe will take place at 10 o’clock this morning in St. George’s Chapel. Dr. Karl Reiland, the rector, will officiate, and the services will be private. Not more than 200 persons, members of the family and friends and associates of the surgeon, are expected. Among the ushers will be Herbert L. Satterlee, Morton S. Paton and T. Markoe Robertson, a nephew of Dr. Markoe. Interment will be at Sleepy Hollow.

Simpkin’s indictment on a charge of murder in the first degree will be asked by Assistant District Attorney Benedict Dineen tomorrow after witnesses testify before the Grand Jury. Judge Mulqueen of General Sessions will then be asked to appoint a lunacy commission so that Simpkin may be sent to the Matteawan State Hospital for the Criminal Insane. Simpkin’s arraignment in Yorkville Court today will be a formality and his case will be adjourned to await action by the Grand Jury.

Simpkin arose early yesterday after a sound sleep. He ate a hearty breakfast, smoked cigarettes and told a prison keeper that the Yorkville Prison suited him better than a lunatic asylum. Among Simpkin’s effects District Attorney Dineen found a letter from his wife in London to his brother in Astoria saying she heard he had escaped from the asylum. Mrs. Simpkin said she knew her husband visited his brother last Summer, and wanted to know whether he had inquired for her.

“You know Tom and I are very devoted to each other and he is very fond of the children,” the letter said.




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