these hospitals still focused on spirituality as before. In 1633, Saint Vincent de Paul and Saint Louise de Marillac founded the Daughters of Charity, and the organization quickly took charge of hospitals across France, staffing many positions in the general hospitals. The care provided in these hospitals was dictated by the Daughter's agenda, which was mostly providing spiritual care for the dying as well as alms for the poor. Doctors and sisters often disagreed on what was best for the patient. Hospitals very much remained this way up until the French Revolution. In France, the first general hospitals were established during the 17th century. Paris established its general hospital in 1656, and it contained three divisions for men, women, and children - the Bicêtre, the Saltpêtrière, and Pitié respectively. The Saltpêtrière became famous, especially for its patient population of mostly prostitutes, and also for becoming the largest hospital in the world by 1789. The original purpose of these general hospitals was for them to function as form of social control over the poor, and encouraged by their success, Louis XIV mandated that all cities of a certain population in France have a general hospital. Historians debate as to these institutions effectiveness in actually controlling the population. Though hospitals were used to house specific groups of people (orphans, the poor, prostitutes, immigrants), they were also legitimately involved in their care, and were not just another form of penitentiary. At this point in time hospital medicine was still fundamentally spiritual institutions, focused on nursing, general and spiritual care. Oftentimes a certificate of baptism and a confession were entry requirements for French hospitals. Given the charitable nature of hospitals, many came for food and shelter, and the hospitals were often plagued with overpopulation. The Hotel Dieu infamously housed nearly three times as many people as it had beds. Overcrowding created very poor health conditions, which in turn gave these hospitals high mortality rates - nearly 25% at the Hotel Dieu. The best medical care was reserved for only those would could afford it, and the poor population of France's general hospitals very often could not. The hospitals were often a place where one could guarantee getting their last rites from a priests, rather than getting cured by a doctor. Doctors often weren't even on staff at such hospitals, and the sisters from the Daughters of Charity did their best to make people comfortable