While this paper is thoroughly documented, it says nothing new. What is important about the labor policies of the brotherhood of the coast is that they were in advance of the general policies of the day. However, they were of the same period as the establishment of St. Mary's of Bethlehem [aka Bedlam] and workhouses for the poor. As such, although they were and advance in disability thinking, they still did not address the fundamental issues of survival after injury.