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First, I would say there's
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an institutional basis that made it possible,
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and that is the hospital.
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Hospitals already existed,
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but not as places of treatment so
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much as safety nets or dumping grounds for the aged,
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the incurable, the orphaned.
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The Industrial Revolution and urbanization,
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however, radically increased the numbers of patients,
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and the hospitals were often
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associated with philanthropy and the church.
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And Paris, the great center of Western Europe,