In the early part of the 20th century these advocates came to their professional work through other routes, often as social workers, attorneys, public health nurses or doctors. In the early 20th century, these lawyers to work through other professional routes, often as social workers, lawyers, public health nurses or doctors. They were the Progressive Era “new women” of Hull House and the Children’s Bureau, the American Association for Labor Legislation leaders of the movement for national health insurance in 1919, the nurses who worked with Lillian Wald to advocate for indigent health care through Visiting Nurse Services  (1893), or with the Maternity Center Association  (1918) to advocate for maternal and infant care for poor immigrants.

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