A law lets town councils set up local health boards but does not force them to. Why would such a law have limited effect?
- Improvements such as sewers and clean water were expensive and had to be paid for from local rates.
- Ratepayers and councils often disliked higher rates and interference from London.
- With no compulsion, the towns that most needed reform could simply choose not to act.
Answer: A permissive law depends on local willingness to pay, so many towns did little. This was the weakness of the Public Health Act of 1848.