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In January 1904, a plain brick bathhouse opens in Midtown Manhattan—an unglamorous building designed to solve a basic urban failure: the inability of tenement housing to provide heat, space, and clean water for bathing. Funded by Elizabeth Milbank Anderson’s private fortune, it represents a new kind of reform—practical, infrastructural, and managed like an institution rather than a gesture of charity. The bathhouse offers dignity through systems: boilers, schedules, staff, and maintenance, acknowledging that poverty is as much a lack of infrastructure as money. Yet it also exposes the limits of elite philanthropy—relieving harm without dismantling the housing economy that produces it—turning “cure” into long-term treatment and reform into a durable but incomplete form of governance.