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One problem of modern towns that comes to mind is motorized vehicular traffic, which require attention to paved streets, parking, traffic lights, signs, and ways to deal with accidents.

Citizens of modern towns also demand a higher level of service from the towns.

Modern towns have more integrated organization of sewage and drainage systems. Medieval towns used separation of human waste from graywater, with the human waste being used for fertilizer and the graywater running off in gutters.

Modern towns provide more education, where in the Middle Ages it tended to be provided by Church organizations, though there were medieval state run schools, which some people fail to remember.

Modern towns also provided emergency services such as hospitals, which were provided by the Church in medieval society, where they were provided at all.

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Q: What problems does a modern town have that were not present in the towns of the middle ages?
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