It was between this period that the foundation for the modern hospital system was established.

During this time the number of hospitals increased, the quality of care improved, specialization emerged and a shift from care to cure was emphasized.

The first United States hospital appeared in Philadelphia in 1751 in which Ben Franklin had a great influence on. He used two arguments in favor of hospitals. First a place was needed to remove insane people from the streets and second a place was need for workmen to regain their strength in order to provide productive labor.

Hospitals of this period were a social need.

The majority of hospitals were managed by voluntary private citizens.

Hospitals main function was to serve the poor sick.