Blame the Patient: How One Bacterium Handed American Public Health Its Most Convenient Excuse
When Robert Koch identified the tuberculosis bacillus in 1882, he handed American reformers something they had not anticipated: a choice. The disease could be understood as a consequence of poverty, overcrowding, and inadequate housing — conditions that implicated landlords, industrialists, and city governments — or it could be understood as the product of individual moral failure, implicating only the person who fell ill. American public health chose the latter framing with remarkable speed and