@Bee When a people don’t care about the health of their fellow country, then all you have is just a collection of bandaids for a public health system. The lack of Universal Health Care in the USA is the harshest indictment one can imagine.
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@Bee I really wish we would stop linking the discovery of germ theory to sanitary sewers.
Most major cities started installing sewers before germ theory. Remember - they put the handle back on the water pump during the crisis because they did not believe Dr Snow's science. Most accounts leave out certain details.
Sewers were installed because cities stank without them and people believed diseases were related to smell. Miasma.
London's big stink in the 1850's kicked off sewer construction. Not cholera.
The superstition of missma happened to align with science to allow progress. It's a bit revisionist to assume that level of money was spent because science showed it could help.
That golden era produced eugenics.