 The Sisters responded by providing health care and by caring for the suddenly increased numbers of orphans.In addition to the school and orphanage, they were involved in the “Mary and Martha Society” to visit the sick.Superiors at Emmitsburg decided in 1850 to establish formal affiliation with the Daughters of Charity based in France, but seven Sisters in Cincinnati, including Superior Margaret Cecilia Farrell George, voted to decline affiliation on the basis that their foundress, Elizabeth Seton, intended that the community she founded be based in America.