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This was a class-based movement.
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It was top-down and centralizing.
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In Chadwick's mind,
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the poor were largely responsible for their own plight.
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They weren't innocent, and they certainly weren't harmless.
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His mission was to cleanse and civilize the dangerous classes.
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As I said, he wasn't a physician, and his reforms were
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not based on any new medical discoveries,
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on scientific experimentation or observation to determine
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what measures were most effective by determining the causes of disease.
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His reform measures, enormous as they were,
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were based more on what was the commonsense of the period