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		<title>Philadelphia&#039;s 200-year-old disability records show that the social reform movement early on relied on rationing care and punishing the poor</title>
		<link>https://bloggingthree.soflytech.com/2024/06/philadelphias-200-year-old-disability-records-show-that-the-social-reform-movement-early-on-relied-on-rationing-care-and-punishing-the-poor/</link>
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		<pubDate>Sat, 15 Jun 2024 10:35:35 +0000</pubDate>
				<category><![CDATA[News]]></category>
		<category><![CDATA[200yearold]]></category>
		<category><![CDATA[care]]></category>
		<category><![CDATA[disability]]></category>
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		<category><![CDATA[Philadelphia39s]]></category>
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		<category><![CDATA[rationing]]></category>
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					<description><![CDATA[Charles Kingley was a widower and single father of 4 children living within the Northern Liberties neighborhood of Philadelphia in 1829. He worked in a brewery but struggled to supply for his youngest child, William, who was about five years old and nearly blind. Barbra Sion, a 74-year-old woman from Southwark, was recorded by social [&#8230;]]]></description>
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<p>Charles Kingley was a widower and single father of 4 children living within the Northern Liberties neighborhood of Philadelphia in 1829. He worked in a brewery but struggled to supply for his youngest child, William, who was about five years old and nearly blind. </p>
<p>Barbra Sion, a 74-year-old woman from Southwark, was recorded by social employees as “aged, infirm, in the care of an adopted child.” </p>
<p>To stay of their homes and take care of their family members, each Philadelphians sought financial assistance from the Guardians of the Poor, the elected government officials who administered local welfare programs. But within the 1810s and 1820s, these pensions were <a href="http://www.doi.org/10.1353/jer.2024.a922051">got here under suspicion in Philadelphia</a>Did families just like the Kingleys or the Sions really deserve support or were they simply pretending?</p>
<p>As a scholar of early American history <a href="https://www.kean.edu/directory/nicole-schroeder">Historian for Disability</a> and as a disabled person, I&#8217;m very attentive to the discussions about disability from the founding of the United States to the current. While researching the on a regular basis experiences of disabled Philadelphians within the early nineteenth century, I discovered the records of the <a href="https://www.phila.gov/departments/department-of-records/city-archives/">Guardian of the Poor</a> within the Philadelphia City Archives. </p>
<p>In my research, <a href="http://www.doi.org/10.1353/jer.2024.a922051">published within the spring issue 2024</a> of <a href="https://muse.jhu.edu/journal/295">Journal of the Early Republic</a>I examine how and why the Guardians of the Poor, together with other social reformers, began rationing health care and banning pensions.</p>
<h2>Guardian of the Poor</h2>
<p>At the start of the nineteenth century, Philadelphia, like most early American cities, had a diversified welfare state. </p>
<p>The Guardians of the Poor collected a poor tax from every household. They used this money to purchase on a regular basis goods resembling firewood, food and clothing for the poor and distributed weekly pensions to needy families.</p>
<p>They also supported public institutions resembling the <a href="https://philadelphiaencyclopedia.org/essays/almshouses-poorhouses/">Philadelphia Poorhouse</a>that provided shelter and basic necessities to town’s poorest people. And they bought places within the <a href="http://www.benjamin-franklin-history.org/pennsylvania-hospital/">Pennsylvania Hospital</a>where they referred poor people for medical care.  </p>
<p>While the poorhouse and hospital were vital places of healing, many disabled households trusted the pension system. Pensioners could receive medical care at home from doctors employed by the Guardians of the Poor. With additional income, they might proceed to work and live independently.</p>
<figure class="align-center ">
<div class="placeholder-container" style="--aspect-ratio-percent:87.66578249336871%;--background-color:#6a7f91"><img decoding="async" alt="Lithograph of a tree-lined river with a bridge and a large building on the other side of the river" class="lazyload" src="https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;fit=clip" srcset="https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=600&#038;h=526&#038;fit=crop&#038;dpr=1 600w, https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=600&#038;h=526&#038;fit=crop&#038;dpr=2 1200w, https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=600&#038;h=526&#038;fit=crop&#038;dpr=3 1800w, https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;h=661&#038;fit=crop&#038;dpr=1 754w, https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=754&#038;h=661&#038;fit=crop&#038;dpr=2 1508w, https://images.theconversation.com/files/598171/original/file-20240603-19-qqjdrh.png?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=754&#038;h=661&#038;fit=crop&#038;dpr=3 2262w" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px"></div><figcaption>
              <span class="caption">When the unique Blockley Almshouse became overcrowded, authorities opened a brand new facility on the west bank of the Schuylkill River in 1833.</span><br />
              <span class="attribution"><a class="source" href="https://lccn.loc.gov/2021670354">John T. Bowen/Library of Congress/World Digital Library</a></span><br />
            </figcaption></figure>
<h2>Increasing poverty, growing discontent</h2>
<p>Like most cities on the East Coast within the early nineteenth century, Philadelphia was home to <a href="https://philadelphiaencyclopedia.org/essays/immigration-1790-1860/">Thousands of immigrants</a> and a <a href="https://philadelphiaencyclopedia.org/essays/african-american-migration/">growing free black community</a>There were also increasing <a href="https://philadelphiaencyclopedia.org/essays/vagrancy">Unemployment and vagrancy</a>Debts from the <a href="https://www.history.com/topics/19th-century/war-of-1812">War of 1812</a> against Great Britain and inflation from the <a href="https://economic-historian.com/2020/10/panic-of-1819/">Panic of 1819</a>. </p>
<p>As more people fell into poverty, more people turned to local social services for assistance. </p>
<p>Taxpayers, alternatively, <a href="https://www.cornellpress.cornell.edu/book/9780801438974/reforming-men-and-women/#bookTabs=1">complained concerning the rising costs of the welfare state</a>particularly the pension system. Why should anyone work, they asked, if the federal government was just handing out money? Were people really unfit for work or were they simply deceiving the guardians of the poor? There was a pervasive feeling that fraudsters were emptying the coffers.</p>
<p>In 1817, a residents’ initiative called for the <a href="https://babel.hathitrust.org/cgi/pt?id=pst.000018424256&#038;seq=5">Pennsylvania Public Economic Development Corporation</a> <a href="https://babel.hathitrust.org/cgi/pt?id=pst.000018424256&#038;seq=5">launched an investigation</a> into the system. She sent a survey to charities and government officials asking, &#8220;What do the poor say is the cause of their poverty?&#8221; </p>
<p>The charities and officials reported: “In most cases, lack of jobs is given as the cause…[A]This may work temporarily, but the real causes are usually idleness, excess and disease.” </p>
<p>The Citizens&#39; Committee&#39;s report concluded that &#8220;the colored people, the lower classes of Irish emigrants, the intemperate and the day laborers&#8221; were wasting taxpayers&#39; money. </p>
<figure class="align-left zoomable">
<div class="placeholder-container" style="--aspect-ratio-percent:175.52742616033757%;--background-color:#a97b56"><img decoding="async" alt="Yellowed printed text page" class="lazyload" src="https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=237&#038;fit=clip" srcset="https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=600&#038;h=1053&#038;fit=crop&#038;dpr=1 600w, https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=600&#038;h=1053&#038;fit=crop&#038;dpr=2 1200w, https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=600&#038;h=1053&#038;fit=crop&#038;dpr=3 1800w, https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;h=1323&#038;fit=crop&#038;dpr=1 754w, https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=754&#038;h=1323&#038;fit=crop&#038;dpr=2 1508w, https://images.theconversation.com/files/599942/original/file-20240611-17-pvddvi.jpeg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=754&#038;h=1323&#038;fit=crop&#038;dpr=3 2262w" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px"></div><figcaption>
              <span class="caption">A report from 1817 cited excess because the fundamental explanation for poverty amongst Philadelphia&#39;s residents.</span><br />
              <span class="attribution"><a class="source" href="https://babel.hathitrust.org/cgi/pt?id=pst.000018424256&#038;seq=22">Pennsylvania Public Economic Development Corporation</a></span><br />
            </figcaption></figure>
<p>While the committee at times pointed to gender pay gaps, high living costs and other real challenges, it focused totally on individual behaviour and private decisions. The authors found that poor people were careless with their money: they gambled, hired sex employees and drank themselves into poverty.  </p>
<p>The report triggered a series of further investigations. In 1821, a state committee was established <a href="https://archive.org/details/sim_hazards-register-of-pennsylvania_1828-08-09_2_4">to take care of the Poor Laws</a>and in 1827 the Guardians of the Poor <a href="https://archive.org/details/101528644.nlm.nih.gov/page/n1/mode/2up">published the outcomes</a> their very own investigation. </p>
<p>They all repeated the identical narrative: the incorrect people were profiting from welfare. </p>
<h2>An enormous poorhouse</h2>
<p>To treatment these social problems, the residents&#39; committee proposed stopping pension payments and placing the poor in homes. <a href="https://archive.org/details/101528644.nlm.nih.gov/page/n1/mode/2up">Reformers argued</a> It can be far cheaper to accommodate the poor together and supply them with food, clothing and shelter on a big scale.</p>
<p>In Philadelphia, this meant shifting taxes to the poor with the intention to <a href="https://collaborativehistory.gse.upenn.edu/stories/blockley-almshouse">Blockley Almshouse</a>a 3,000-bed facility that serves as <a href="https://philadelphiaencyclopedia.org/essays/almshouses-poorhouses/">Poorhouse</a>Orphanage, hospital and workhouse on the west bank of the Schuylkill River – an area that was then on the <a href="https://www.loc.gov/resource/g3824p.ct003972/?r=-0.084,0.359,1.322,0.632,0">Outskirts of town</a>removed from the families and communities of most residents. </p>
<p>In 1902, the ability was renamed Philadelphia General Hospital. It was closed in 1977 and shortly razed. Today, the space houses various facilities owned by the <a href="https://collaborativehistory.gse.upenn.edu/stories/after-pgh-city-healthcare-sciences-west-philadelphia">PGH Development Corp</a>.</p>
<p>Like the manuscript collections of the Guardians of the Poor in <a href="https://www.phila.gov/departments/department-of-records/city-archives/">Philadelphia City Archives</a> To be clear, Blockley Almshouse has hired medical professionals to look at those admitted and supposedly distinguish profit fraudsters from those that deserve care.  </p>
<p>Sick and injured people were taken to the hospital wards, where they met doctors and medical students. <a href="https://doi.org/10.1007/978-3-319-26836-1_12">Students on the University of Pennsylvania</a> accomplished their clinical rounds within the poorhouse, where they performed operations, prepared medications, and learned  diagnose patients.</p>
<p><a href="http://www.jstor.org/stable/23315160">Both disabled</a> and able-bodied poor were sent to the workhouse, where they&#8217;d to perform tasks resembling <a href="https://www.nationalarchives.gov.uk/education/resources/workhouse-voices/sell-clothing-of-the-union/#:%7E:text=Picking%20oakum%20was%20used%20as,hard%20tar%20that%20coated%20it.">Plucking tow</a> – where ropes are separated into individual fibres – <a href="https://journals.psu.edu/phj/article/view/22528/0">Winding yarn, sewing clothes or making shoes</a>Whatever they produced was sold in local markets to finance the ability. </p>
<p><a href="https://archive.org/details/101528644.nlm.nih.gov/page/n1/mode/2up">Reformers suspected</a> that the majority people would find the conditions within the workhouse so appalling that they would go away and seek work in town as an alternative. </p>
<figure class="align-center zoomable">
<div class="placeholder-container" style="--aspect-ratio-percent:76.25994694960212%;--background-color:#7f7f7f"><img decoding="async" alt="Black and white photo of young children in the pool" class="lazyload" src="https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;fit=clip" srcset="https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=600&#038;h=458&#038;fit=crop&#038;dpr=1 600w, https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=600&#038;h=458&#038;fit=crop&#038;dpr=2 1200w, https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=600&#038;h=458&#038;fit=crop&#038;dpr=3 1800w, https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=45&#038;auto=format&#038;w=754&#038;h=575&#038;fit=crop&#038;dpr=1 754w, https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=30&#038;auto=format&#038;w=754&#038;h=575&#038;fit=crop&#038;dpr=2 1508w, https://images.theconversation.com/files/598135/original/file-20240603-17-12352y.jpg?ixlib=rb-4.1.0&#038;q=15&#038;auto=format&#038;w=754&#038;h=575&#038;fit=crop&#038;dpr=3 2262w" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px"></div><figcaption>
              <span class="caption">Physical therapists and polio patients in a swimming pool at Philadelphia General Hospital in 1963. The hospital was formerly the positioning of the Blockley Almshouse.</span><br />
              <span class="attribution"><a class="source" href="https://www.gettyimages.com/detail/news-photo/physical-therapists-and-polio-victims-in-a-pool-at-news-photo/518738401">African American Newspapers/Gado/Getty Images</a></span><br />
            </figcaption></figure>
<h2>The so-called fraudsters</h2>
<p>It is difficult to assume what the workhouse could offer families just like the Kingleys or the Sions, just two of the 656 families listed within the register of relief recipients kept by the Guardians of the Poor for 1829. </p>
<p>When I transcribed the register, I discovered that every one 656 households on the pension roll were home to single parents, elderly people, individuals with disabilities, or some combination of those people. Most had lived in town for many years. </p>
<p>Ironically <a href="https://www.jstor.org/stable/27769726">has never made a profit</a>. Philadelphians continued to fund the ability through tax revenues, and it never broke even.</p>
<p>The real cost, after all, was borne by the individuals who were forcibly placed in homes, divided into different wards in line with gender and health status, and separated from their families by the vastness of the river. </p>
<p>Many lived in abject poverty to flee the institution. In 1830, Mathew Carey, <a href="https://blogs.loc.gov/loc/2014/09/mathew-carey-1760-1839-philadelphia-publisher-and-provocateur/">an economist and public figure in Philadelphia</a>complained that a whole bunch of Philadelphians &#8220;have gradually fallen into the worst distress and poverty &#8211; that honorable men would shudder at the sight of the inmates of a poorhouse, and that they would indeed rather die than go there&#8221; <a href="https://babel.hathitrust.org/cgi/pt?id=nnc1.0043497721&#038;seq=210&#038;q1=alms+house">deserved pension support</a>. </p>
<p>Changing the welfare laws &#8211; taking away pensions and funding institutions as an alternative &#8211; acted like a net to catch and punish economically dependent people. The welfare reformers could have set their sights on employers, businesses, rent costs or other systemic causes of poverty. Instead, they focused on alleged fraudsters who in point of fact didn&#8217;t exist.</p>
</p></div>
<p><em>image credit : theconversation.com</em></p>
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