Medical training

Augusta applied to study medicine at the University of Pennsylvania but was refused admission. Although he faced institutionalized racism throughout his career, the university cited inadequate preparation in its rejection of him. Augusta persisted in his education and arranged for private instruction from a doctor on the faculty. As he was determined to become a physician, Augusta travelled to California and earned the funds to pursue his goal of becoming a doctor.

Concerned that he would not be allowed to enroll in medical school in the U.S., in 1850 he enrolled at Trinity College of the University of Toronto. He also conducted business as a druggist and chemist. Six years later he received a degree in medicine.

Medical career

Augusta remained in Toronto, Canada West, establishing a medical practice. The City of Toronto appointed him as director of an industrial school. He supported local antislavery activities, which supported the American movement. He also founded the Provincial Association for the Education and Elevation of the Coloured People of Canada, a literary society that donated books and other school supplies to black children. Augusta left Canada for the West Indies in about 1860, returning to Baltimore at the beginning of the American Civil War in 1861.

American Civil War

Augusta went to Washington, D.C., where he wrote to President Abraham Lincoln and Edwin Stanton, Secretary of War, offering his services as a surgeon. He was initially rejected due to his racial background and, since he was a British subject, would violate the Great Britain's Proclamation of Neutrality. In response, he traveled to Washington, DC, to plead his case.

The Army Medical Board reconsidered and invited him to take the examination. He passed the test on 14 April 1863^[3] and received a major's commission as surgeon for African-American troops. He was the United States Army's first African-American physician (of a total of eight) and its highest-ranking African-American officer at the time. He was also appointed to lead the Freedman's Hospital in Washington, D.C., in 1863, becoming the first black hospital administrator in U.S. history.^[2]

Some whites resented Augusta's having such a high rank. He was mobbed in Baltimore while wearing his officer's uniform during May 1863 (where three people were arrested for assault), and in another incident in Washington.^[4] On October 2, 1863, he was commissioned Regimental Surgeon of the Seventh U.S. Colored Troops.^[5] In March 1865, he was awarded a brevet promotion to lieutenant colonel, and left the military service the following year at that rank.^[2]

Activism against discrimination

While in the military, Augusta spoke out about discrimination suffered by African Americans in society. On February 1, 1864, Augusta wrote to Judge Advocate Captain C. W. Clippington about discrimination against African-American passengers on the streetcars of Washington, D.C.:

Sir: I have the honor to report that I have been obstructed in getting to the court this morning by the conductor of car No. 32, of the Fourteenth Street line of the city railway.

I started from my lodgings to go to the hospital I formerly had charge of to get some notes of the case I was to give evidence in, and hailed the car at the corner of Fourteenth and I streets. It was stopped for me and when I attempted to enter the conductor pulled me back, and informed me that I must ride on the front with the driver as it was against the rules for colored persons to ride inside. I told him, I would not ride on the front, and he said I should not ride at all. He then ejected me from the platform, and at the same time gave orders to the driver to go on. I have therefore been compelled to walk the distance in the mud and rain, and have also been delayed in my attendance upon the court.

I therefore most respectfully request that the offender may be arrested and brought to punishment.

His letter was printed in New York and Washington newspapers. On February 10, 1864, Massachusetts Senator Charles Sumner introduced a resolution in Congress:

Resolved, That the Committee on the District of Columbia be directed to consider the expediency of further providing by law against the exclusion of colored persons from the equal enjoyment of all railroad privileges in the District of Columbia.

To support his resolution, Sumner read to the assemblage Dr. Augusta's letter.^[6] Edward Bates, the Attorney General in President Abraham Lincoln's cabinet, belittled the incident and senators who supported Sumner.^[7] He was a slaveholder but earlier in his career in St. Louis, Missouri, Bates had acted as defense counsel for enslaved persons in freedom suits.

In 1865 Augusta wrote a letter to Major General Lewis Wallace, protesting the unequal treatment of African-American train passengers, who were forced to sit in segregated sections. That letter preceded the Plessy v. Ferguson case^[8] which challenged racial segregation on public transportation in the U.S. On March 13, 1865, Augusta was brevetted to the rank of lieutenant colonel.

On February 26, 1868, Augusta testified before the United States Congressional Committee on the District of Columbia with regard to Mrs. Kate Brown. Mrs. Brown, an employee of Congress and an African American, had been injured when an employee of the Alexandria, Washington, and Georgetown Railroad forcibly ejected her from a passenger car. The railroad was prohibited by its federal charter from discrimination against passengers because of race.^[9]

Later years

Mustering out of the service in October 1866, Augusta accepted an assignment with the Freedmen's Bureau, heading the agency's Lincoln Hospital in Savannah, Georgia. While there, he encouraged African-American self-help, urged the freedmen to support independent institutions, and gained respect from the city's white physicians.

Augusta returned to private practice in Washington, D.C. He was attending surgeon to the Smallpox Hospital in Washington in 1870. He also served on the staff of the local Freedmen's Hospital, which he had directed for a period during the war.

Augusta taught anatomy in the recently organized medical department at Howard University from November 8, 1868, to July 1877, becoming the first African American appointed to the faculty of the school and also of any medical college in the U.S. He received honorary degrees of M.D. in 1869 and A.M. in 1871 from Howard in recognition of his contributions.^[10][11]

Despite his accomplishments, Dr Augusta was repeatedly refused admission to the local society of physicians. On June 9, 1869, Augusta and Charles Burleigh Purvis were proposed for membership of the Medical Society of DC, a branch of the American Medical Association. They were considered eligible, but did not receive enough votes. Another black physician, A. W. Tucker, was proposed on June 23, but was also rejected. In response, these three formed the National Medical Society.^[12] Augusta feared such exclusion from a professional society would impede the progress of younger African-American physicians in the city, and worked against such racial discrimination.

He died in Washington on December 21, 1890. He was interred at Arlington National Cemetery, in Arlington, Virginia.^[13]

Augusta's headstone reads as follows: "Commissioned surgeon of colored volunteers, April 4, 1863, with the rank of Major. Commissioned regimental surgeon of the 7th Regiment of US. Colored Troops, October 2, 1863. Brevet Lieutenant Colonel of Volunteers, March 13, 1865, for faithful and meritorious services-mustered out October 13, 1866."^[2]

Legacy

As of May 19, 2023, Alexander T. Augusta Military Medical Center, a United States Department of Defense medical facility located on Fort Belvoir, Virginia, outside of Washington D.C, is named in his honor.^[14]