By the end of the 1700s, industrialization changed social conditions creating a greatly increased need for compassionate and effective health care. Which changes heralded the need for health care reform? Select all that apply
A) The entire family's income depended on all members working.
B) People declared insane were placed in damp dark stalls with straw-lined floors.
C) Raw sewage ran in the streets, and families lived in small crowded flats.
D) Multiple persons who may not be related slept in an inn room's bed.
E) Farmers' markets sold fresh produce and vegetables, milk, and eggs.
Ans: A, B, C, D
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Industrialization was replacing familiar agricultural society, and cities with large populations were breeding grounds for poverty, poor hygiene, and disease. The insane were housed like animals and were mistreated and poorly cared for and lacked proper hygiene, sanitation, and nutrition. There was no inside plumbing or bathrooms, so people would throw sewage into the gutter of the street from chamber pots. When people went to a crowded inn, multiple strangers slept sideways in a bed, which increased the spread of infectious diseases and lice. The close cramped living quarters in the cities and crowded work environment in factories increased the spread of infectious diseases. Factories paid low wages, requiring all members of the family to work just to be able to live in overcrowded housing and to purchase food and clothing. Farmers' markets are examples of health-promoting activities of the industrialization era.
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