In 1848 a British surgeon could open a patient without knowing what caused infection, operating in a coat stiff with old blood, and a government could pass a public health act that no town was obliged to obey. A century later penicillin was in mass production and the National Health Service treated anyone who walked through the door, free at the point of use. The distance travelled in one hundred years is greater than in the previous thousand.
What makes this a breadth study rather than a story is that the progress was uneven. Long stretches produced almost nothing, then a single idea or a single war changed everything at once. Your job is to explain the rhythm: which developments were turning points, what kept holding progress back, and why war repeatedly did in four years what peacetime had failed to do in forty.
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