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At the turn of the 20th century, Americans faced several significant challenges, including rapid industrialization, which led to poor working conditions, long hours, and low wages for laborers. Urbanization resulted in overcrowded cities with inadequate housing, sanitation, and public health systems, contributing to disease outbreaks. Additionally, social issues such as racial segregation, women's suffrage, and labor rights movements were prominent, highlighting the struggles for equality and justice in a rapidly changing society. These problems prompted various reform movements aimed at addressing the pressing social and economic inequalities of the time.

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