 Additionally, he cites secondary sources such as internal reports on injuries and deaths in the hospitals, and state investigations into and surveys and indictments of hospital conditions.When describing how he obtained such intimate access to the facilities he visited, when his acknowledged goal was to expose their ineffectiveness and abuse, Deutsch writes "the plain fact is that most of these men welcomed the opportunity to get the true story before the public...They had become increasingly aware of the fact that only an enlightened public opinion could move state administrators to take the measures needed to stave off complete institutional collapse.