Or,
What's a book on Medieval
Hospitals doing
on a website about Medieval Monasteries?
Because in the Middle
Ages, hospitals were like monasteries.
The sick people (inmates) of hospitals lived a version of the life that
monks and nuns lived, and the
hospitals themselves were largely owned and operated by monastic
institutions.
Religious Institutions
Founded
Hospitals:
While the rare "Methodist
Hospital" still exists today, in
the middle ages, the lion's share of the almshouses, lazar (leper)
houses, and
hospitals were
founded by Saints and Abbots, or under the supervision of monasteries,
and were staffed and managed by the monks
and nuns who founded them. Don't believe me? Take a look at
these pages-- lists of
medieval monastic establishments in England--and take note of all
the hospitals. Lay persons (knights and dukes) might also found
and administer hospitals. In that case, they, too, were acting
upon what they felt was a Christian moral obligation to care for the
sick.
Christians had a Moral Obligation to Care for the Sick:
In the middle ages, piety
meant that Christians cared for the sick,
taking on the task as a sacred, moral duty. Because the "leper"
and the
sick, the poor, the wanderer, the pilgrim, and the insane were beloved
of Christ, so they should be beloved of all Christians. Priors and
Abbots founded hospitals as part of this sacred duty.
Similiarities in Staffing:
Monastic hospitals were
administered by the monastic brethren and
staffed with local parish clergy (hired to say mass for, and comfort,
the inmates), or monks (who also worked as clergy) or nuns (as
administrators, spiritual comforters and caregivers). The monks,
however, often hired servants (workers) to care for the grounds,
buildings, and needs of the sick. This regular staff included
cooks, laundresses, and lay brothers and sisters, who served as
stewards
and proctors and caregivers. This is similar to how the
monastery ran its own establishment, as well as its other properties
and charities.
Alms and Endowments were
primary
Funding:
Just as today, for a
business to run, expenditures had to equal
income. Foundations where often started by the donation of a lump
sum, and that money was used to build, renovate, and upkeep the
hospital. The money for foundation of a hospital often came from
the lay gentry, kings, dukes, knights, or merchants. The
monastery would be the 'owner and administrator' of many of these
foundations, though sometimes some powers still sometimes rested with
the the king or lay benefactor. Funding for maintaining hospitals came
from the community and was raised as alms. Almsgiving was a
sacred moral duty, and alms were provided by kings, lords, yeomen,
church congregations, and those on pilgrimage.
Just as hospitals were
supported by almsgiving and founding donations,
so were the monasteries themselves. Though larger monasteries
often owned businesses and farmland, and so were financially
prosperous, many others relied on funding from the gentry given in
endowments, as gifts, or raised from those who traveled on pilgimage.
Life in a Medieval
Hospital was
like Life in a Medieval Monastery:
When it came to medieval
hospitals, piety wasn't reserved for the monks
and
officiating clergy
alone. The inmates of hospitals themselves were required to live an
imitation of the monastic life. From the wayfarer who stayed a
night or two in the monastic guest-houses, to the "leper," to the aged,
those admitted to a bed in a hospital in the middle ages lived a life
of prayer. Until they recovered or expired, they kept all the
canonical hours (and were issued fur 'night boots' for the night
prayers), attended daily
mass,
ate communally, spent their time in work and prayer, kept silence, and
devoted the
remainder of their lives to God as they were able.
Spiritual Care was the
Primary
Consideration in Hospitals:
All hospitals were
staffed with clergy and servants, but not all
hospitals employed physicians. It seems strange to us today, but
'medicine' was different in the middle ages. Medical treatment
came from the many lay women, and monks and nuns, who were skilled with
the medicines of their day. The goal was healing, but cures were
often attributed to divine intervention. Care of the body
concentrated on providing rest, food, and comfort. While the
illness was treated as best as could be, it was the care
of the soul that was considered of primary importance. Prayer and
piety and application to the saints were thought to be the best chance
of healing and cure, and, if cure was an impossibility, then it was of
vital importance to prepare of the soul for death.
While the situation in individual hospitals varied, this was the
typical situation. Care of the sick was the sacred moral duty for
all Christians.
|