Social Class and Health Care in a Community Institution: The case of Hamilton City Hospital

This paper examines the evolution of Hamilton City Hospital. Initially constructed as a municipal charity in 1853, the hospital provided treatment to those poor who could not afford the services of private physicians. The city's affluent shunned hospitalization in favour of home care because it was more hygienic and comfortable. Advances in science and medical technology, in the latter part of the century, revolutionized treatment and surgical techniques. These developments underscored the limitations of home treatment and made the hospital more attractive to the well-to-do. However, the institution was not originally designed to accomodate this new breed of patient in a manner to which they were accustomed. Recognizing the value of having a class of patient who could pay for services, the hospital pursued development strategies that catered to the needs and values of its wealthy patients. City Hospital reflected the rigid social class relationships of society and provided care accordingly.