1a. The Evolution of Hospitals in the U.S. In the mid-Eighteenth Century, hospitals in the United States were essentially isolation wards used during epidemics. Institutionalized health care was provided for the lower classes in charitable organizations such as almshouses, which also provided support for the destitute (Mann Wall, n.d.). Right into the Nineteenth Century, the upper and middle classes were cared for at home. Towards the end of the Nineteenth Century, medical technologies were advancing and institutionalized care was becoming a better choice than home care. Medical practices became increasingly professionalized and tended more and more often to take ...
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