A litter to transport sick patients by the Hermandad del Refugio de Madrid [Madrid Brotherhood of Rufuge], founded 1615, for the needy and homeless on city streets. Learned that Madrid as primarily a centre for royals and finance, with few craftsmen or manufacturers before the 20th century. In addition, the disconnection between Spanish royalty and the common people led to the fall of the nation to Napoleon in the early 1800s, and issues with leadership for many centuries. (Museo de Historia de Madrid, Calle de Fuencarral, Madrid, Spain) 20221002