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An examination of Ireland's advanced mid nineteenth-century health
policy, focusing on the Medical Charities Act of 1851 and the Irish
Poor Law Commission. Should be read by...every specialist in public
administration in Ireland and England during the nineteenth
century. ENGLISH HISTORICAL REVIEW **`Choice' Outstanding Academic
Book of 1998** In mid-nineteenth-century Ireland there existed a
system of medical relief for the poor, via a country-wide system of
dispensaries, superior to any public health system in England and
arguably in Europe. This book examines the dispensary system and
Irish healthpolicy and administration in general, focusing upon the
Medical Charities Act of 1851, which placed medical relief under
the control of the Irish Poor Law Commission. The Commission's
origin, motivation and effect (for example onepidemic control,
cholera and famine) are analysed in detail, together with the
pre-famine medical charities it replaced and the reorganised poor
law system, taking the story through to 1872. The argument is set
firmly in the context of the pattern of government growth, of
British medical politics as a whole, and of British policy in
Ireland; it also shows how the Irish experience influenced
developing British policies on health provision. R.D. CASSELL is
Professor of History at the University of North Carolina at
Greensboro.
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