The ebbing of family facilities, and of family, community, and neighborly feelings upon which the performance of many social functions formerly depended, leaves a void. As the family members, more of them now at work away from the home, become less and less able to care for each other in time of need, and as the ties of neighborhood, community, and friendship are reinterpreted on a narrower scale to exclude onerous responsibilities, the care of humans for each other becomes increasingly institutionalized. At the same time, the human detritus of the urban civilization increases, not just because the aged population, its life prolonged by the progress of medicine, grows ever larger; those who need care include children—not only those who cannot “function” smoothly but even the “normal” ones whose only defect is their tender age. Whole new strata of the helpless and dependent are created, or familiar old ones enlarged enormously: the proportion of “mentally ill” or “deficient,” the “criminals,” the pauperized layers at the bottom of society, all representing varieties of crumbling under the pressures of capitalist urbanism and the conditions of capitalist employment or unemployment. In addition, the pressures of urban life grow more intense and it becomes harder to care for any who need care in the conditions of the jungle of the cities. Since no care is forthcoming from an atomized community, and since the family cannot bear all such encumbrances if it is to strip for action in order to survive and “succeed” in the market society, the care of all these layers becomes institutionalized, often in the most barbarous and oppressive forms. Thus understood, the massive growth of institutions stretching all the way from schools and hospitals on the one side to prisons and madhouses on the other represents not just the progress of medicine, education, or crime prevention, but the clearing of the marketplace of all but the “economically active” and “functioning” members of society, generally at public expense and at a handsome profit to the manufacturing and service corporations who sometimes own and invariably supply these institutions.