Friedrich Engels in The Condition of the Working Class in England (1845) showed how all of the following existed during early capitalist production, except for the following: the working and living conditions that resulted from early capitalist production had negative health effects. rural workers were forced to migrate to cities to make a living. working classes could only afford very cheap shelter and food. working classes had access to better healthcare in industrial cities than what was available in rural cities. the slums where the working classes lived were breeding grounds for diseases