Ellen's great concern as she learned of the trend at the college is revealed in this portion of a letter she sent to the church in Battle Creek:

Since the first steps had been taken in Battle Creek, in providing for the publishing work and having decided on a name, the members in Battle Creek were first to take the next step.

At the General Conference Session of 1866, Ellen White starled the audience with her testimony: She was shown that the Seventh-day Adventist Church should have its own health institution.

In 1865, James was very busy in Battle Creek. Many burdens and much pressure laid upon him.