The limits of healthcare assistance in the nineteenth century: the urban case of Juiz de Fora (Minas Gerais state)

Abstract The objective of this article is to discuss the mechanisms of healthcare organization in the city of Juiz de Fora (Minas Gerais state), in the second half of the nineteenth century. We investigated the arrangements organized to provide care for the sick and how this structure adapted to the demands of the socio-political and economic scenario. It is noticeable that, while the slave system lasted, the Charity Hospital in Juiz de Fora was irrelevant, since the coffee plantations had facilities capable of caring for the sick. The founding of the healthcare facility fulfilled the function of catapulting the plantation owner José Antonio da Silva Pinto into the Brazilian nobility, becoming the baron de Bertioga, and of accommodating the requirements of imperial legislation through personalist arrangements.

摘要 本研究旨在探讨19世纪下半叶巴西米纳斯吉拉斯州（Minas Gerais）茹伊斯迪福拉市（Juiz de Fora）的医疗组织运作机制。本次调研围绕为病患提供医疗救助所搭建的各类制度安排展开，同时分析该体系如何适配当时社会政治与经济环境的发展需求。值得注意的是，在奴隶制度存续期间，茹伊斯迪福拉的慈善医院（Charity Hospital）并未发挥实质作用，因当地咖啡种植园已具备足以救治病患的配套设施。该医疗机构的创立，一方面助力种植园主何塞·安东尼奥·达·席尔瓦·平托（José Antonio da Silva Pinto）跻身巴西贵族阶层，获封贝尔蒂奥加男爵（baron de Bertioga）；另一方面则通过个人化的制度安排，满足了巴西帝国立法的相关要求。