"If you look at the way things operated here, even in 1960," Dr. Gibson said in the 1991 interview, "it was more like an asylum than a hospital. It was a protection, a closed community. I said, 'Why not have a volunteer department?' They said, 'Oh, that would bring in outsiders.' I said, 'Why not have outpatients?' They said, 'Oh, then you would have people coming from the community.'"