The enthusiastic response from the general public led to premature plans for the rapid enlargement of the institution to accommodate all who applied for admission as patients.
James and Ellen White, in northern Michigan, watched the rapid developments with growing concern. It was clear to them that plans for expansion of the health institute were premature, and the way in which materials from Ellen White's pen were being used brought particular distress, for the testimonies written to bring the institution into being were now being used to support the plans for immediate enlargement.
Plans were drawn, an excavation was made, a stone foundation was laid, and materials were purchased for proceeding with the proposed enlargement. James and Ellen White watched at long range through the letters, the Review, and reports that reached them, and were greatly distressed. They were convinced that the denomination lacked much of what would be needed in skill, experience, and finance.