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Medicine and Charity in Ireland 1718-1851 (Hardcover)
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Medicine and Charity in Ireland 1718-1851 (Hardcover)
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In this illuminating social history of medicine and charity in
Ireland over almost 150 years from 1718 until just after the Great
Famine, Laurence M. Geary shows how illness and poverty reacted
upon each other. The poverty resulting from great population growth
that continued until the arrival of potato blight in 1845 had a
severe effect on the health of the country's population, and the
Famine itself caused around one million deaths from starvation and
disease. This was a period of great change in medical and
charitable services. In the eighteenth century the sick had come to
be regarded as the deserving poor, therefore having a better claim
to public assistance than those whose poverty was the result of
their own dissipation, idleness or vice. A network of charities
evolved in Ireland to provide free medical aid to the sick poor.
The first voluntary hospital in Dublin opened in 1718 and Geary
traces the establishment and development of voluntary hospitals and
county infirmaries throughout the country. These had a strong
Anglican ethos and bias, but after Catholic emancipation in 1829
the nepotism, sectarianism and divisive politics that were rife in
these organisations came under increasing scrutiny. Medical
practitioners saw considerable progress in the development of a
regulated profession. Geary describes developments in policy making
and legislation, culminating in the 1851 Medical Charities Act,
which he describes as part of a process that characterised the
century and more under review in this book: the unrelenting
pressure on philanthropy and private medical charity and the
inexorable shift from voluntarism to an embryonic system of state
medicine.
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