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In Nebraska, a Christian Scientist, Ezra M. Buswell, was charged with violating the Nebraska medical practice act. Buswell was acquitted by the district court after it ruled that he was not practicing medicine. The Court of Appeals came to the opposite conclusion and found that Buswell was a physician. Buswell had studied with Mary Baker Eddy at the Metaphysical College in Boston. Buswell was convinced that Christian Science was valid system because he was cured of his ailments after his conversion. Buswell stated that he had never administered any medicine to his patients. Instead, his treatment centered on reading the scriptures and prayer. Buswll stated that when a person “request[ed] aid and c[a]me to us for and assistance we treat them as a mother treats her child that is frightened of objects it fears…we seek to dispel the fear by showing them the presence of love…Perfect love casts out fear.” Buswell admitted treating as many as a hundred patients in the previous eighteen months this way.<ref><i>State v. Buswell</i>, 40 Neb. 158, 58 N.W. 728.</ref>
Buswell stated that payment was not mandatory and he would “leave the question to them and God.”<ref><i>Buswell</i>, 731.</ref> Still, Buswell hoped his patients would compensate him for his services. He informed his patients that, “[i]f they are not willing to part with the sacrifice themselves, it is not expected that those should reap the benefit.”<ref><i>Buswell</i>, 731.</ref> The expectation of a fee or a gratuity prevented Buswell’s actions from being classified as either “an act of worship” or “the performance of a religious duty,” according to the court. The court found that the payments were exchanged for services rendered.<ref> Buswell, 732.</ref> The court also found that Buswell believed that he was similar to a physician. The court was convinced that Buswell “engaged in treating physical ailments of others for compensation.”<ref><i>Buswell</i>, 732.</ref> It should be noted that the Nebraska Supreme Court found that both Osteopaths and Christian Scientists were practicing physicians and held an expansive notion of the “practice of medicine.”
In 1898, the Supreme Court of Rhode Island disagreed with the Nebraska Supreme Court and found that Christian Science was not a medical practice. Walter E. Mylod was adjudged “probably guilty” by a district court based on the complaint of the secretary of the Rhode Island State Board of Health. Mylod was convicted after a witness testified that he sought Mylod’s help to treat malaria. Mylod informed the witness that he was a doctor and continued to pray for ten minutes during their meeting. After praying, Mylod stated “I guess you will feel better” and gave the witness a book titled A Defence [sic] of Christian Science. The witness then paid Mylod one dollar for his services and left his office. Another individual also sought treatment from Mylod and received a prayer and copy of a different book, A Historical Sketch of Metaphysical Healing. The second patient also paid Mylod one dollar for each of his visits. Mylod told his patient that he needed to look on the bright side of life because “thought governs all things.”<ref><i>State v. Mylod</i>, 20 R.I. 632, 40 A. 753, (1898), 754- 758.</ref>