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Expelling the Poor argues that immigration policies in nineteenth-century New York and Massachusetts, driven by cultural prejudice against the Irish and more fundamentally by economic concerns about their poverty, laid the foundations for American immigration control.
Ever since the English settled in America, extreme poverty and the inability of individuals to support themselves and their families have been persistent problems. In the early nineteenth century, many communities established almshouses, or "poorhouses," in a valiant but ultimately failed attempt to assist the destitute, including the sick, elderly, unemployed, mentally ill and orphaned, as well as unwed mothers, petty criminals and alcoholics. This work details the rise and decline of poorhouses in Massachusetts, painting a portrait of life inside these institutions and revealing a history of constant political and social turmoil over issues that dominate the conversation about welfare recipients even today. The first study to address the role of architecture in shaping as well as reflecting the treatment of paupers, it also provides photographs and histories of dozens of former poorhouses across the state, many of which still stand.
This is the first full-length biography of New York surgeon and social activist Stephen Smith (1823–1922), who was appointed to fifty years of public service by three mayors, seven governors, and two U.S. presidents. The book presents the complex life of Stephen Smith, a consistent figure in the history of public health, mental health, housing reform in New York, and even urban reforestation. Utilizing Smith’s writings, public records, and recently discovered personal correspondence, this research shows how Smith succeeded where others failed. It also acknowledges that Smith was unsuccessful in convincing his fellow professionals to fight for a cabinet level public health department or to resist the rise of custodial care for the mentally impaired. Given Smith’s many accomplishments, the book asks us to consider if what stopped him stops us, highlighting the relevance of Smith’s story to contemporary debates. Pestilence, Insanity, and Trees is a readable and well-documented narrative and a resource for students and scholars, filling gaps in the history of American medicine, public health, mental health, and New York social reform.