"We face today two practical dilemmas. The first can be succinctly described as the return of the ‘social question’. For Victorian reformers—or American activists of the pre-1914 age of reform—the challenge posed by the social question of their time was straightforward: how was a liberal society to respond to the poverty, overcrowding, dirt, malnutrition and ill health of the new industrial cities? How were the working masses to be brought into the community—as voters, as citizens, as participants—without upheaval, protest and even revolution? What should be done to alleviate the suffering and injustices to which the urban working masses were now exposed and how was the ruling elite of the day to be brought to see the need for change? The history of the 20th century West is in large measure the history of efforts to answer these questions. The responses proved spectacularly successful: not only was revolution avoided but the industrial proletariat was integrated to a remarkable degree. Only in countries where any liberal reform was prevented by authoritarian rulers did the social question rephrase itself as a political challenge, typically ending in violent confrontation. In the middle of the 19th century, sharp-eyed observers like Karl Marx had taken it for granted that the only way the inequities of industrial capitalism could be overcome was by revolution. The idea that they could be dissolved peacefully into New Deals, Great Societies and welfare states simply never would have occurred to him."