What was American welfare like in George Washington’s day? It was expensive, extensive, and run by local governments. Known as “poor relief,” it included much of what we would now call welfare and social work. Unlike other aspects of government, poor relief remained the same, in structure, between the establishment of British colonies in the 1600s and the New Deal of the 1930s. How Welfare Worked in the Early United States: Five Microhistories tells the story of poor relief through the lives of five people: a long-serving overseer of the poor, a Continental Army veteran who was repeatedly banished from town, a nurse who was paid by the government to care for the poor, an unwed mother who cared for the elderly and struggled to remain with her daughter, and a young paralyzed man trying to be a Christian missionary inside a poorhouse. Of Native, African, and English descent, these five Rhode Islanders’ life stories show how poor relief actually worked. For them and for millions, all over the United States, poor relief was both generous and controlling, local and yet largely uniform around the nation. Two centuries ago, Americans paid for—and relied on—an astonishing government system that provided food, housing, and medical care to those in need, while also shaping American families and where they could live. Students of history and of today’s social provision have much to learn about how welfare worked in the early United States.