Pendleton Civil Service Reform Act which would lead to several other organizations like it appearing in other cities. The presence of these organizations was one of the first steps in trying to up end the spoils system in America. The assassination of President James A. Garfield moved the Civil Service Reform from city organizations to a leading topic in the political realm. President Garfield was shot in July 1881 by Charles Guiteau, because Guiteau believed the president owed him a patronage position for his "vital assistance" in securing Garfield's election the previous year. Garfield died two months later, and Vice President Chester A. Arthur acceded
Charles J. Guiteau probing the wound with unwashed hands and non-sterilized instruments, Garfield died on September 19, eleven weeks after being shot. Most modern physicians familiar with the case state that Garfield would have easily recovered from his wounds with sterile medical care, which was common in the United States a decade later, while Candice Millard argues that Garfield would have survived Guiteau's bullet wound had his doctors simply left him alone. However, Garfield's biographer Allan Peskin stated that medical malpractice did not contribute to Garfield's death; the inevitable infection and blood poisoning that would ensue from a deep bullet wound resulted in