Health Care And Poor Relief In Protestant Europe 1500 1700

The problem of the poor grew in the early modern period as populations rose dramatically and created many extra pressures on the state. In Northern Europe, cities were going through a period of rapid growth and central and local administrations saw considerable expansion. This volume provides an outline of the developments in health care and poor relief in the economically important regions of Northern Europe in this period when urban poverty became a generally recognized problem for both magistracies and governments. With contributions from international scholars in the field, including Jonathan Israel, Paul Slack and Rosalind Mitchison, this volume draws on research into local conditions and maps general patterns of development.

The poor and the sick-poor have always presented a problem to the governments and churches of Europe. Whose responsibility are they? Are they a wilful burden on the honest working population, or are they a necessary presence for the true Christian to live the true Christian life? In the 18th and 19th centuries what happened to the poor and the sick-poor in the north and south of Europe was different. In the north there occurred first the Reformation in the 16th century, which changed attitudes to the poor, and then the advent of industrialisation, with its far-reaching effects of pauperisation of people both in town and countryside. In the Catholic south, where industrialisation did not appear so soon, the Catholic Church introduced a programme of reform at all levels but along traditional lines. This included the founding of new orders dedicated to the care of the poor and sick, of new institutions within which to house and care for them. At all times it was taken for granted that it was a necessary aspect of being a Christian that one should give for the care of the needy, and that this was not the duty of the state or of secular institutions. The secularising movement did however reach the southern countries by way both of the Enlightenment and - more drastically - in the form of the Napoleonic invasions. But after the defeat of Napoleon, the Church reasserted its right to administer and control the support of the poor and sick, and this situation continued until 1900 in most areas. Moreover the effects of industrialisation and the concomitant increase in population did make itself felt in the south in the course of the 19th century, which put great stress on the institutions for poor relief and health care for the poor. All this is still relevant today, since the situations that governments and the Catholic Church found themselves confronted with, and the stark choices they had to make, are being replayed to some extent today. Who is responsible for the poor, who is to blame for their being poor? How should their poverty be relieved, how should the health care of the many be funded? These are still live issues today. While complete in itself the present volume also forms the fourth and last of a four-volume survey of health care and poor relief in Europe between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham

This book provides an outline of the developments in health care and poor relief in Northern Europe by drawing on research into local conditions and mapping general patterns of development.

The period from the Renaissance to the Enlightenment constitutes a vital phase in the history of European medicine. Elements of continuity with the classical and medieval past are evident in the ongoing importance of a humor-based view of medicine and the treatment of illness. At the same time, new theories of the body emerged in the seventeenth and eighteenth centuries to challenge established ideas in medical circles. In recent years, scholars have explored this terrain with increasingly fascinating results, often revising our previous understanding of the ways in which early modern Europeans discussed the body, health and disease. In order to understand these and related processes, historians are increasingly aware of the way in which every aspect of medical care and provision in early modern Europe was shaped by the social, religious, political and cultural concerns of the age.

By the end of the fifteenth century most European counties had witnessed a profound reformation of their poor relief and health care policies. As this book demonstrates, Portugal was among them and actively participated in such reforms. Providing the first English language monograph on this this topic, Laurinda Abreu examines the Portuguese experience and places it within the broader European context. She shows that, in line with much that was happening throughout the rest of Europe, Portugal had not only set up a systematic reform of the hospitals but had also developed new formal arrangements for charitable and welfare provision that responded to the changing socioeconomic framework, the nature of poverty and the concerns of political powers. The defining element of the Portuguese experience was the dominant role played by a new lay confraternity, the confraternity of the Misericórdia, created under the auspices of King D. Manuel I in 1498. By the time of the king's death in 1521 there were more than 70 Misericórdias in Portugal and its empire, and by 1640, more than 300. All of them were run according to a unified set of rules and principles with identical social objectives. Based upon a wealth of primary source documentations, this book reveals how the sixteenth-century Portuguese crown succeeded in implementing a national poor relief and health care structure, with the support of the Papacy and local elites, and funded principally though pious donations. This process strengthened the authority of the royal government at a time which coincided with the emergence of the early modern state. In so doing, the book establishes poor relief and public health alongside military, diplomatic and administrative authorities, as the pillars of centralization of royal power.

This is a study of the organisation and practical operation of the system of poor relief in Emden from the late 15th century to the end of the 16th. The city went through dramatic economic, confessional and constitutional changes during this period and so offers an ideal setting for the study of the emergence and development of a highly organised, multi-jurisdictional system of social welfare in the early modern period. Utilising account books, church council minutes, wills, contracts, correspondence and guild records it focuses on the day-to-day operation of poor relief - how the many diverse institutions actually functioned. As elsewhere in Europe, the Reformation did not immediately result in swift changes in poor relief; the Roman Catholic components of the administration of social welfare were dissolved and replaced gradually. It was only when the vast changes in religious, social and economic life which occurred at the middle of the 16th century forced matters that the methods of relief for the needy were revolutionised. The city was flooded with refugees from the Dutch revolt, there were widespread and severe economic difficulties caused by bad harvests and skyrocketing prices, and the church underwent a period of intense Calvinisation; only then were Reformed institutions and methods introduced. At times, religious arguments dominated the poor relief debate, while at others the social welfare system was barely affected; the effectiveness of the new systems and institutions is illuminated by an analysis of the recipients of relief during the second half of the 16th century.

Throughout history governments have had to confront the problem of how to deal with the poorer parts of their population. During the medieval and early modern period this responsibility was largely borne by religious institutions, civic institutions and individual charity. By the eighteenth century, however, the rapid social and economic changes brought about by industrialisation put these systems under intolerable strain, forcing radical new solutions to be sought to address both old and new problems of health care and poor relief. This volume looks at how northern European governments of the eighteenth and nineteenth centuries coped with the needs of the poor, whilst balancing any new measures against the perceived negative effects of relief upon the moral wellbeing of the poor and issues of social stability. Taken together, the essays in this volume chart the varying responses of states, social classes and political theorists towards the great social and economic issue of the age, industrialisation. Its demands and effects undermined the capacity of the old poor relief arrangements to look after those people that the fits and starts of the industrialisation cycle itself turned into paupers. The result was a response that replaced the traditional principle of 'outdoor' relief, with a generally repressive system of 'indoor' relief that lasted until the rise of organised labour forced a more benign approach to the problems of poverty. Although complete in itself, this volume also forms the third of a four-volume survey of health care and poor relief provision between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham.