The Province of Affliction: Illness and the Making of Early New England (American Beginnings, 1500-1900)

In __The Province of Affliction__, Ben Mutschler explores the surprising roles that illness played in shaping the foundations of New England society and government from the late seventeenth century through the early nineteenth century. Considered healthier than people in many other regions of early America, and yet still riddled with disease, New Englanders grappled steadily with what could be expected of the sick and what allowances were made to them and their providers. Mutschler integrates the history of disease into the narrative of early American social and political development, illuminating the fragility of autonomy, individualism, and advancement . Each sickness in early New England created its own web of interdependent social relations that could both enable survival and set off a long bureaucratic struggle to determine responsibility for the misfortune. From families and households to townships, colonies, and states, illness both defined and strained the institutions of the day, bringing people together in the face of calamity, yet also driving them apart when the cost of persevering grew overwhelming. In the process, domestic turmoil circulated through the social and political world to permeate the very bedrock of early American civic life. How do we balance individual and collective responsibility for illness? This question, which continues to resonate today, was especially pressing in colonial America, where episodic bouts of sickness were pervasive, chronic ails common, and epidemics all too familiar. ​In The Province of Affliction, Ben Mutschler explores the surprising roles that illness played in shaping the foundations of New England society and government from the late seventeenth century through the early nineteenth century. Considered healthier than residents in many other regions of early America, and yet still riddled with disease, New Englanders grappled steadily with what could be expected of the sick and what allowances made to them and their providers. Mutschler integrates the history of disease into the narrative of early American cultural and political development, illuminating the fragility of autonomy, individualism, and advancement in this period. Each sickness in early New England created its own web of interdependent social relations that could both enable survival and set off a long bureaucratic struggle to determine responsibility for the misfortune. From families and households to townships, colonies, and states, illness both defined and strained the institutions of the day, bringing people together in the face of calamity, yet also driving them apart when the cost of persevering grew overwhelming. In the process, domestic turmoil circulated through the social and political world to permeate the very bedrock of early American civic life. "As the first Europeans settled in America, they found themselves often sick, weak, and likely to die. Here, Ben Mutschler explores how illness shaped society and government in New England from roughly 1690 through 1820. He focuses on the building blocks of society and government-family, household, town, colony-and their multifaceted engagements with the problems that diseases caused. Illness both defined and strained early American institutions, bringing people together in the face of calamity yet also driving them apart when the costs of persevering became too high or were too unequally shared." Overviews. A tour of the province: October 18, 1769 ; Illness in the "social credit" and "money" economies of eighteenth-century New England -- Competency. Family competency: scenes from the life course of illness ; Household competency: work, responsibility, and belonging -- Dependency. Smallpox, public health, and town governance ; The domestic costs of war: wartime afflictions -- Agency. Colonial pensioners, the revolutionary invalid corps, and the advent of "decisive disability" ; State paupers and patients -- Epilogue