Addams discusses the problems that charity workers face when they bring middle-class assumptions about the poor to their efforts to practically help them.
Addams holds that charitable work enables a better understanding of the poor, at a meeting of the Illinois Board of Charities and the Men's Club of the Fourth Presbyterian Church.
Addams invites Blaine to a private meeting of nurses, settlement folk and members of the Board of Charities to discuss the Board of Health's clinical service trial.
Addams argues the lower class can only be raised up if everyone in the community takes a interest in their plight. The article appeared in multiple newspapers.