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The first state hospitals and public medical care

AI-drafted · awaiting admin review

Did Emperor Ashoka set up the world's first public medical care for people and animals?

Disputed: evidence incompleteMedicine & health

Indian claim

Ashoka's Rock Edict II (about 258 BCE) says the king provided two kinds of medical treatment, for humans and for animals, across his empire and in neighbouring lands, and had medicinal plants grown where they were lacking.

Evidence for the Indian claim

  • The edict is a dated, contemporary inscription, which makes it strong evidence of state-funded medical provision, including veterinary care.
  • The Chinese pilgrim Faxian, around 400 CE, described free hospitals in Pataliputra where the poor and disabled were treated.

Commonly credited to

Greek healing temples of Asclepius treated the sick from the 5th century BCE, and large charitable hospitals were built in the Byzantine and Islamic worlds from the 4th and 8th centuries CE.

Evidence for the other claim

  • The edict mentions treatment and medicinal plants but not hospital buildings, so it does not prove the first hospitals.
  • Asclepian temples were older places where the sick stayed and were treated, though they mixed religion and medicine.

What historians and scientists say

Ashoka's edict is one of the earliest records anywhere of a government taking responsibility for medical care of people and animals. Whether it counts as the first 'hospital' depends on the definition, so historians do not award a clear first.

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