Simkins discusses the challenges she faced while working for the Tuberculosis Association throughout the 1930s. Simkins had been hired to help educate teachers about health-related issues, namely the threat of tuberculosis. Simkins addresses racial tensions within the Tuberculosis Association while she worked for them and argues that her supervisor disapproved of her association with the NAACP. Simkins explains why she finally left the Tuberculosis Association in 1942, when she was increasingly criticized for trying to weave information about matters such as venereal disease into her program. Her comments here reveal the kinds of social justice issues with which Simkins was increasingly concerned and she alludes to a general failure of paternalistic organizations to address real problems.