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Incurable Disease in Nineteenth-Century Spain: Hospital for Males Suffering an Incurable Disease "nuestra Senora Carmen"

This article analysis how the Spanish State took over the medical assistance of citizens with ‘permanent necessities’, i.e. the chronically ill and the elderly. This process coincided with liberal government sanitary reform and the creation of a public sanitary structure to replace the religious and private one. The necessity of such a public network was mainly the result of the strong migration from the country to the city around 1830, and the weakening or disappearance of other traditional assistance networks. The article concentrates on a case study of the public Hospital for Incurable Man Jesus Nazareno in Madrid, Spain.