The Sick Poor: How do we define them and what should we do with them?

Authors

  • G.B. Ferngren Oregon State University, Corvallis, USA Author

Keywords:

hospital care, Christianity, the Reformation, the sick poor people, charity, philanthropy

Abstract

Organized care for the poor was not known in the civil charity that existed in the classical culture of Greece and Rome. In its framework, aid was distributed by rich philanthropists among all citizens, regardless of their social status or financial status. The new charity system, based on donations, was established on the basis of Christian
and not Greco-Roman values and led to a redefinition of the concept of „poor”. Christians regarded the poor as blessed by God, endowed with a special grace, and even in poverty reflect the image of God. Christian ideas of charity for the first time identified and simultaneously lifted the poor as a distinct social group. Change of hospital care occurred in the XVI century under the influence of the Reformation. It marked the transition from medieval Christian views on medical charity to secular social policy.

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References

Thucydides, History of the Peloponnesian War 2.51-53.

Translated by Rex Warner. London , 1974, 154-55.

A. R. Hands, Charities and Social Aid in Greece and

Rome. Ithaca, NY, 1968, 77-88.

Alex Scobie, “Slums, Sanitation, and Mortality in the

Roman World,” Klio 68 (1986): 399-433; quotation

at 431.

Edelstein, Emma J., and Ludwig Edelstein, Asclepius:

A Collection and Interpretation of the Testimonies.

vols. in 1. Reprint, Baltimore, 1998 [1945], 174-5.

W. W. Tarn and G. T. Griffith, Hellenistic Civilization.

rd edition. London, 1952, 110.

Hands, Charities and Social Aid 81.

Ibid., 85.

W. den Boer, Private Morality in Greece and Rome:

Some Historical Aspects. Leiden, 1979, 62-72;

Glanville Downey, “Who Is My Neighbor? The Greek

and Roman Answer,” Anglican Theological Review

(1965): 3-15; Joel Agrimi and Chiata Crisciani,

Charity and Aid in Medieval Christian Civilization,”in Mirko D. Grmek, ed., Western Medical Thought from Antiquity to the Middle Ages, trans. by Mireille Muellner and Leonard Muellner, Baltimore, 1989,170-2.

Apost. const. 3.19; cf. Polycarp, Ep.ad Phil. 6.1; Justin

Martyr, Apology 1.67; Tertullian, Ad uxor. 2.4. See

Robert Grant, “The Organization of Alms,” in Early Christianity and Society: Seven Studies, London,1977/8, 124-45; Jean Colson, La Fonction diaconale aux origins de l’Église, Paris, 1960, 9-120; and J.G. Davies,

Deacons, Deaconesses and the Minor Orders in the Patristic Period,” Journal of Ecclesiastical History 14

: 1-15.

Eusebius, Eccles. Hist. 6.43.

Adolf Harnack, The Mission and Expansion of

Christianity in the First Three Centuries, trans. and ed.

by James Moffatt, 3 vols, New York, 1904, 1:195 n. 1.

Homil. in Matt. 66/67.3.

See Ewa Wipszycka, “Les confréries dans la vie

religieuse de l’Egypte chrétienne.” In Proceedings of

the Twelfth International Congress of Papyrology, ed.

H. Samuel. American Studies in Papyrology Vol.

Toronto, 1970, 511-25; Peregrine Horden, “The Confraternities of Byzantium.” In Voluntary Religion,ed. W. P. Sheils and Diana Wood. Oxford and New York, 1986, 25-45.

Peter Brown, Poverty and Leadership in the Later

Roman Empire. Hanover, N.H, 2002, 11-14.

Scobie, “Slums, Sanitation, and Mortality” passim;

Downey, “Who Is My Neighbor?” 8-9, 13.

On the origin of the hospital see G. E. Gask and J. Todd,

“The Origins of Hospitals.” In Science, Medicine, and

History: Essays on the Evolution of Scientific Thought

and Medical Practice Written in Honour of Charles Singer, ed. E. A. Underwood. 2 vols. London, 1:122-30; Timothy S. Miller, The Birth of the Hospital in the Byzantine Empire. 2nd ed. Baltimore, 1997; Guenter.

Risse, Mending Bodies, Saving Souls: A History of Hospitals. New York, 1999, 69-116; Nigel Allan,

Hospice to Hospital in the Near East: An Instance of Continuity and Change in Late Antiquity,” BHM

(1990): 446-62; Georg Harig, “Zum Problem ‘Krankenhaus’ in der Antike,” Klio 53 (1971): 179-95;and Andrew T. Crislip, From Monastery to Hospital:

hristian Monasticism and the Transformation of Health Care in Late Antiquity. Ann Arbor: University of Michigan Press, 2005, 100-42.

Gary B. Ferngren, Medicine and Health Care in Early

Christianity. Baltimore, 2009, 124-30.

Brown, Poverty and Leadership 1-44.

Ole Peter Grell, “The Reformation and Changes in

Welfare Provision in Early Modern Northern Europe,”

in O. Grell and Andrew Cunningham, eds., Health Care

and Poor Relief in Protestant Europe 1500-1700, London

and New York, 1997, 3-4; O. Grell, “The Protestant

Imperative of Christian Care and Neighbourly Love,” in

ibid., 43-65, esp. 49-52; and C. Lindberg, “The Liturgy

after the Liturgy: Welfare in the Early Reformation,” in

Hanawalt and C. Lindberg, eds., Through the Eye of the Needle: Judeo-Christian Roots of Social Welfare,Kirksville, Missouri, 1994, 177-91.

Grell, “The Protestant Imperative” 58; T. Riis,

“Religion and Early Modern Social Welfare,” in

Hanawalt and Lindberg, eds., Through the Eye of the

Needle 193-205; Grell, “The Reformation” 28; and

Grell, “The Protestant imperative” 53-57.

Michel Foucault (1926-1984) argued that the creation

of institutions for the insane, criminals, and the poor

in the mid-seventeenth century constituted a “great confinement” that sought to incarcerate deviants in order to bring them under discipline and teach them to work. See his Madness and Civilization: A History of Insanity in the Age of Reason (New York, 1973), and Discipline and Punish: The Birth of the Prison (New York, 1995 [1977]). For a critique of Foucault’s views regarding “the manufacture of madness” see C. Jones and R. Porter, eds., Reassessing Foucault: Power,Medicine, and the Body (London and New York, 1994);and Grell, “The Protestant imperative” 60.

A. Kinzelbach, “Hospitals, Medicine, and Society:

Southern German Imperial Towns in the Sixteenth

Century,” Renaissance Studies 15 (2001): 217-28, esp.

-21.

E. I Kouri, “Health Care and Poor Relief in Sweden

and Finland: c. 1500-1700,” in Grell and Cunningham,

Health Care and Poor Relief 179-80; and Grell, “The

Reformation” 23-33, quotation at 32-33.

On hospitals and poor relief in southern Italy see

D. Gentilcore, Healers and Healing in Early Modern

Europe, Manchester, 1998, 125-55; John Henderson,

“Healing the Body and Saving the Soul: Hospitals in

Renaissance Florence,” Renaissance Studies 15 (2001):

-216 (block quotation at 216); and Hugo Soly,

“Continuity and Change: Attitudes towards Poor Relief

and Health Care in Early Modern Antwerp,” in Grell and

Cunningham, eds., Health Care and Poor Relief, 90.

See Brian S. Pullan, Rich and Poor in Renaissance

Venice: The Social Institutions of a Catholic State 1650

(Oxford, 1971); Grell, “The Reformation” 19; Andrew

Wear, “The popularization of medicine in Early Modern

England,” in Roy Porter, ed. The Popularization of

Medicine 1650-1850, London and New York, 1992,

-50.

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Published

2014-02-28

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How to Cite

Ferngren, G. (2014). The Sick Poor: How do we define them and what should we do with them?. History of Medicine, 1(1). http://13.200.237.241/HOM/index.php/medicine/article/view/11