A history and analysis of scientific charity organizations that arose in late nineteenth century America. In the 1880s, social reform leaders warned that the “unworthy” poor were taking charitable relief intended for the truly deserving. Armed with statistics and confused notions of evolution, these “scientific charity” reformers founded organizations intent on limiting access to relief by the most morally, biologically, and economically unfit. Brent Ruswick examines a prominent national organization for scientific social reform and poor relief in Indianapolis in order to understand how these new theories of poverty gave birth to new programs to assist the poor. “Ruswick’s well-researched monograph traces the history of the charity organization society in the US from its origins in the Gilded Age to its merging with social work in the Progressive Era. . . . Recommended.” —Choice “[This] study provides a welcome insight into the inner workings of charity organization societies and their drive to eliminate poverty.” —Nonprofit & Voluntary Sector Quarterly, Volume43, Issue 4, 2014 “Almost Worthy offers a lot of interesting detail pulled from COS case files, professional conference proceedings, journals of the field, and more; some possibly fruitful hypotheses about what to make of changes in COS approaches over time; thoughtful new propositions about the relationship between scientific charity and eugenics (including some charity reformers’ apparent remorse); and a fresh, new mini-biography of Oscar McCulloch interspersed throughout.” —H-SHGAPE “Brent Ruswick wants to put the science back into scientific charity. He argues that the essence of organized charity was not its class prejudices and censorious attitude toward the poor, but rather its belief that systematic evidence-gathering could serve to improve the quality of charity work and public policy.” —American Historical Review, Volume119, Issue 4, October 2014