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The story of Tufts Medical Center and the Floating Hospital for Children encompasses the history of medicine in Boston. It was founded in 1796 as the Boston Dispensary, where district physicians provided free medical care to the poor through annual subscriptions from wealthy Boston families, including such luminaries as Samuel Adams and Paul Revere. Fueled by a huge influx of immigrants at the turn of the 20th century, the city of Boston rapidly expanded and diversified. So too did the hospital, whose growth included the addition of evening clinics to serve the working poor. The Floating Hospital for Children started in 1894 as a ship outfitted as a hospital to take the city's sick children out on Boston Harbor to receive the benefits of fresh ocean air and the attention of a volunteer medical staff. In the 1930s, it merged with the Boston Dispensary and the Pratt Diagnostic Clinic along with Tufts University's Medical School to form the nucleus of today's Tufts Medical Center, a national leader in health care, teaching, and research.
Since its settlement in 1630, Boston, its harbor, and outlying regions have witnessed a monumental transformation at the hands of humans and by nature. Remaking Boston chronicles many of the events that altered the physical landscape of Boston, while also offering multidisciplinary perspectives on the environmental history of one of America's oldest and largest metropolitan areas. Situated on an isthmus, and blessed with a natural deepwater harbor and ocean access, Boston became an important early trade hub with Europe and the world. As its population and economy grew, developers extended the city's shoreline into the surrounding tidal mudflats to create more useable land. Further expansion of the city was achieved through the annexation of surrounding communities, and the burgeoning population and economy spread to outlying areas. The interconnection of city and suburb opened the floodgates to increased commerce, services and workforces, while also leaving a wake of roads, rails, bridges, buildings, deforestation, and pollution. Profiling this ever-changing environment, the contributors tackle a variety of topics, including: the glacial formation of the region; physical characteristics and composition of the land and harbor; dredging, sea walling, flattening, and landfill operations in the reshaping of the Shawmut Peninsula; the longstanding controversy over the link between landfills and shoaling in shipping channels; population movements between the city and suburbs and their environmental implications; interdependence of the city and its suburbs; preservation and reclamation of the Charles River; suburban deforestation and later reforestation as byproducts of changing land use; the planned outlay of parks and parkways; and historic climate changes and the human and biological adaptations to them.