Well yes, because those were cities of the 19th and early 20th centuries they were describing. Places like New York, Philadelphia, etc. There's times when I ride the subway in New York now and I think to myself, 'God, this city makes people mentally ill.' I can only imagine what it was like 100 years ago when they didn't even have proper / modern sanitation and everybody lived in slums that would make the modern day South Bronx look like French Riveira.



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