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If You Think New York City Life Is Bad Now

Blog Post | Water & Sanitation

If You Think New York City Life Is Bad Now

A grim tour of preindustrial New York

Summary: Many people today feel that life in New York has become uniquely difficult. Some imagine that the city was cleaner, safer, and more livable in the distant past. Historical reality tells a different story: Preindustrial New York was marked by extreme filth, unsafe water, rampant disease, pervasive poverty, and living conditions that made everyday life harsh and dangerous compared to contemporary times.


Discontent fueled the 2025 New York City mayoral election and Zohran Mamdani’s victory. A common theme echoed across the five boroughs: New York is a hard place to live. “We are overwhelmed by housing costs,” said Santiago, a 69-year-old retiree, outside a Mamdani rally. Those opposed to Mamdani had their own complaints. María Moreno, a first-time voter from the Bronx who supported Andrew Cuomo, lamented, “Now everything’s dirty, and our neighborhood does not feel safe.”

Today’s voters have legitimate grievances. The city’s housing costs, quality-of-life issues, and perceptions of disorder weigh heavily on residents’ minds. But it’s important to keep things in perspective. Different voters may romanticize different eras, but many seem to share a sense that if they could travel back far enough in time, they’d find a New York that was once clean, safe, and affordable. When Americans were polled in 2023, almost 20 percent said that it was easier to “have a thriving and fulfilling life” hundreds of years ago. Across the country, as one writer put it, people are engaged in an “endless debate around whether the preindustrial past was clearly better than what we have now.” In fact, Mamdani’s politics are grounded in an ideology that first arose from the frustrations of the early industrial era.

If Americans could go back in time to preindustrial New York City, however, they’d likely be horrified and possibly traumatized. Despite today’s real challenges, most New Yorkers would not trade places with their predecessors.

Long before the rise of factories and industry, New York City was a bustling port, founded by the Dutch as New Amsterdam in order to trade furs in the early seventeenth century. As early as 1650, local authorities enacted an ordinance against animals roaming the streets to protect local infrastructure—but to no avail. Then, in 1657, according to the Dutch scholar Jaap Harskamp:

New Amsterdam’s council attempted to ban the common practice of throwing rubbish, ashes, oyster-shells or dead animals in the street and leave the filth there to be consumed by droves of pigs on the loose. When the English took over the colony from the Dutch, pigs and goats stayed put. . . . Pollution persisted. The streets of Manhattan were a stinking mass. Inhabitants hurled carcasses and the contents of loaded chamber pots into the street and rivers. Runoff from tanneries where skins were turned into leather flowed into the waters that supplied the shallow wells. The (salty) natural springs and ponds in the region became contaminated with animal and human waste. For some considerable time, access to clean water remained an urgent problem for the city. . . . The penetrating smell of decomposing flesh was everywhere.

Into the early twentieth century, urban living in the United States felt surprisingly rural and agrarian, with an omnipresent reek to match. As late as the mid-nineteenth century, pigs roamed freely through New York City streets, acting as scavengers, and nearly every household maintained a vegetable garden, often fertilized with animal manure.

Indoor air quality was no better. A drawing from Mary L. Booth’s History of the City of New York depicts a seventeenth century New Amsterdam home with smoke from the fireplace swirling through the room. Indoor air pollution remains a serious problem today in the poorest parts of the world, as smoke from hearths can cause cancer and acute respiratory infections that often prove deadly in children. One preindustrial writer railed against the “pernicious smoke [from fireplaces] superinducing a sooty Crust or furr upon all that it lights, spoyling the moveables, tarnishing the Plate, Gildings and Furniture, and Corroding the very Iron-bars and hardest stone with those piercing and acrimonious Spirits which accompany its Sulphur.”

That said, before industrialization, though inescapable filth coated the interiors of homes, the average person owned few possessions for the corrosive hearth smoke and soot to ruin. By modern standards, New Yorkers—like most preindustrial people—were impoverished and lacked even the most basic amenities. According to historian Judith Flanders, in the mid-eighteenth century, “fewer than two households in ten in some counties of New York possessed a fork.” Many were desperately poor even by the standards of the day and could not afford housing. One 1788 account lamented how in New York City, “vagrants multiply on our Hands to an amazing Degree.” Charity records suggest that the “outdoor poor” far outnumbered those in almshouses.

Water quality was infamously awful. In seventeenth-century New Amsterdam, as Benjamin Bullivant observed, “[There are] many publique wells enclosed & Covered in ye Streetes . . . [which are] Nasty & unregarded.” A century later, New York’s water remained as foul as Bullivant had described. Visiting in 1748, the Swedish botanist Peter Kalm noted that the city’s well water was so filthy that horses from out of town refused to drink it. In 1798, the Commercial Advertiser condemned Manhattan’s main well as “a shocking hole, where all impure things center together and engender the worst of unwholesome productions; foul with excrement, frogspawn, and reptiles, that delicate pump system is supplied. The water has grown worse manifestly within a few years. It is time to look out [for] some other supply, and discontinue the use of a water growing less and less wholesome every day. . . . It is so bad . . . as to be very sickly and nauseating; and the larger the city grows the worse this evil will be.”

In 1831, a letter in the New York Evening Journal described the state of the water supply:

I have no doubt that one cause of the numerous stomach affections so common in this city is the impure, I may say poisonous nature of the pernicious Manhattan water which thousands of us daily and constantly use. It is true the unpalatableness of this abominable fluid prevents almost every person from using it as a beverage at the table, but you will know that all the cooking of a very large portion of the community is done through the agency of this common nuisance. Our tea and coffee are made of it, our bread is mixed with it, and our meat and vegetables are boiled in it. Our linen happily escapes the contamination of its touch, “for no two things hold more antipathy” than soap and this vile water.

In 1832, New York experienced a devastating outbreak of cholera, a bacterial disease that typically spread through contaminated water and killed with remarkable speed. A person could wake up feeling well and be dead by nightfall, struck down with agonizing cramps, vomiting, and diarrhea. The epidemic killed about 3,500 New Yorkers.

The initial actions taken to protect city water supplies were often private in nature. In fact, throughout the eighteenth and early nineteenth centuries, private businesses generally supplied urban water infrastructure. Despite such efforts, drinking water remained generally unsafe, even after industrialization, until the chlorination of urban water supplies became widespread.

The pervasive grime took a visible toll on New Yorkers. Between drinking tainted water, eating contaminated food, inhaling smoke-filled air, and living with poor hygiene, the average resident sported visibly rotten teeth. One letter from 1781 described an acquaintance: “Her teeth are beginning to decay, which is the case with most New York girls, after eighteen.”

The dental practices of the time were often as horrifying as the effects of neglect. The medieval method of using arsenic to kill gum tissue, providing pain relief by destroying nerve endings, remained common until the introduction of Novocain in the twentieth century. As late as 1879, the New York Times ran a story with the headline “Fatal Poison in a Tooth; What Caused the Horrible Death of Mr. Gardiner. A Man’s Head Nearly Severed from His Body by Decay Caused by Arsenic Which Had Been Placed in One of His Teeth to Deaden an Aching Nerve—an Extraordinary Case.” The story detailed the gruesome demise of a man in Brooklyn, George Arthur Gardiner, who died “in great agony, after two weeks of indescribable suffering.”

Preindustrial New York City wasn’t uniquely miserable for its time. Life was harsh everywhere, and cities around the world contended with the same foul smells, filth, poor sanitation, and grinding poverty. Rural villages were no better. Peasant families often brought their livestock indoors at night and slept huddled together for warmth. In many cases, rural peasants were even poorer than their urban counterparts and owned fewer possessions. Farm laborers frequently suffered injuries and aged prematurely from backbreaking work, while fertilizing cesspits spread disease and filled the air with an inescapable stench.

Though they may have been slightly better off than their rural counterparts, the struggles of early New Yorkers are worth remembering. However daunting the problems of today may seem, a proper historical perspective can remind us of how far we’ve come.

This article was originally published in City Journal on 1/13/2026.

We Are Tech | Pregnancy & Birth

Rwanda Uses Digital Tools to Flag Risky Pregnancies

“Rwanda increasingly relies on digital tools to improve monitoring for pregnant women and manage high-risk pregnancies. At the opening of the fifth Africa HealthTech Summit on Wednesday, September 30, Minister of State for Health Yvan Butera said these systems had contributed to a 30% decline in maternal mortality over the past two years.

The strategy relies partly on digitizing the work of community health workers. More than 54,000 workers use smartphones to record information collected from households and monitor patients. The data allow health workers to identify some high-risk pregnancies more quickly and refer patients to appropriate health facilities or specialists.”

From We Are Tech.

Axios | Health Systems

US Initiative Aims to Speed Drug Development and Reduce Costs

“The Trump administration on Wednesday is launching an effort to reimagine the way clinical trials are designed, with a goal of drastically reducing the time and money it takes to develop new drugs…

The effort — dubbed the Simulation-augmented, Real-time Platform Adaptive Seamless Trials (SURPASS) program — features teams selected through a bidding process that will bring drug candidates through experimental clinical trial processes…

Today, developing a drug can take longer than a decade and cost around $2 billion. More than 90% of drug candidates fail, according to HHS.”

From Axios.

Pan American Health Organization | Life Expectancy

Life Expectancy in the Americas Surpasses Its Pre-Pandemic Peak

“The Region of the Americas has made important health gains over recent decades…

In 2023 life expectancy in the Region was 77.1 years, surpassing its pre-pandemic 2019 peak of 76.7 years. Healthy life expectancy has also improved, although more slowly.”

From Pan American Health Organization.

Blog Post | Communications

What If Smartphones Aren’t Killing Romance, but Saving It?

Smartphones did not start the decline in dating and fertility, but they may help reverse it.

Summary: Smartphones are often accused of weakening romance and contributing to falling birth rates, even though many of these trends began before smartphones became widespread. Most new couples now meet online, and digitally formed relationships can be just as stable and satisfying as those formed offline. As AI improves matchmaking, smartphones may become even more effective at bringing compatible partners together.


My husband and I met in the same academic building where my parents first met decades earlier as students.

When we recently returned to that spot around our 10th wedding anniversary, we joked with our children that if they attended the same college, perhaps they’d meet their future spouses in that very building, too. Part of me hopes they do. It would make for a cute family story across generations.

But statistically, I know they’re far more likely to one day find love with the help of an online matchmaker. That doesn’t make me sad. I think of the couples I know who met online. They were brought together by an algorithm, yet their marriages are no less happy, and their children are no less loved because of it.

Some, however, lament this new mode of family formation. Others contend, more despairingly, that humanity is about to “scroll its way out of existence,” believing that smartphones are a drag on fertility. Are these devices replacing in-person interaction, romantic relationships, and children?

Most Couples Meet Online

The available research suggests smartphones have become the most common way couples meet, which makes them one of the most powerful matchmaking technologies ever built.

According to research from Stanford University, in 2021 more than 50% of new U.S. couples met online, a category that includes meeting through digital forums, social media and dating apps.

That may actually understate the role of technology as an effective matchmaker. The Stanford data also appear to show a post-2010 rise in couples first meeting in “bars and restaurants,” but according to the researchers, that “is due entirely to couples who met online and subsequently had a first in-person meeting at a bar or restaurant.”

A 2024 survey of nearly 8,000 newly engaged couples similarly found dating apps were the single most common way they met, ahead of every offline route. That survey, from The Knot, an online wedding services platform, found couples first connected through a variety of different dating apps including Hinge, Tinder, Bumble, OkCupid, Match, Plenty of Fish and eHarmony.

Technology has long been blamed for inadvertently hindering family formation. Recent research from Northwestern University suggests the typewriter may have lowered birth rates by bringing more women into the workforce. Yet the same research also suggests the typewriter led to many “office romance” marriages — and, presumably, many children.

Today, technology continues to bring couples together. Smartphones are increasingly accused of fueling the global decline in fertility, but the evidence that smartphones reduce fertility is weaker than many think. For example, some economists point out that most of Italy’s fertility decline preceded smartphone adoption.

Studies on average marital satisfaction between couples who met online and offline show mixed results, but some research suggests slightly higher marital satisfaction among the former as well as slightly less separation and divorce. Digital introductions can lead to lasting partnerships, and divorce rates are at their lowest point in half a century. That trend is driven by highly committed married millennials, many of whom met their spouse online.

Although dating apps and other online mechanisms are the leading way couples first connect, there is still significant room for improvement. Rates of couple formation (and, consequently, fertility) declined across many countries, even though most single young adults say they are aspiring toward marriage.

Some would blame the phones. Yet, some data shows a decline in teen dating that predates smartphones, starting in the early 1990s. And research suggests the widespread adoption of online dating between 2008 and 2021 had remarkably little effect on individuals’ romantic preferences or selectivity — that is, their pickiness — to the researchers’ surprise. Nonetheless, many singles still struggle to meet the right person.

Traditional matchmakers are expensive, but AI holds the promise of dramatically lowering the cost and democratizing access to high-quality, personalized matchmaking as well as enhancing matchmaking through higher success rates.

The race is already on to harness AI to improve digital courtship. For example, the company Keeper AI bills itself as “AI-assisted matchmaking for serious, long-term relationships” and claims that with their app, “1 in 10 first dates lead to marriage.” Other new AI-powered dating platforms include Known and Overtone.

Older dating apps also aim to improve their effectiveness with AI. Earlier this year, Bumble introduced an AI-powered profile guidance feature providing users with feedback on their bios, and plans to entirely replace swiping with AI-based matchmaking later this year in select markets. Meta similarly says its AI assistant for Facebook Dating helps users optimize their profiles and highlight their best qualities to appeal to potential matches.

Smartphones and dating apps are frequently criticized for undermining traditional courtship and contributing to declining fertility. Yet if they were to suddenly disappear, couple formation would likely suffer, given that most couples now first meet online. Smartphones, perhaps paradoxically, act as vital family-formation infrastructure in the modern world.

This article appeared on Deseret News on August 23, 2026.