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 storage by the museum. Parts of Guiteau's brain remain on display in a jar at the Mütter Museum in Philadelphia. Dr. Allan McLane Hamilton said in 1881 that he believed that Guiteau was sane when he assassinated Garfield. An autopsy of Guiteau's brain revealed that his dura mater was abnormally thick, suggesting he may have had neurosyphillis, a disease which causes mental instability; he could have contracted the disease from a prostitute. George Paulson, formerly the chair of neurology at Ohio State University, disputed the neurosyphillis diagnosis, arguing that Guiteau suffered from both schizophrenia and "grandiose narcissism". In 2014, the