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Lorenzo de Medici did his civic duty volunteering for the city fire brigade, and was a member of the Confraternity of Buonomini, who did volunteer work as shown in frescoes including this one from their headquarters. A Florentine gentleman hands a chicken and a jug of wine to a poor woman as, in the background, another woman lies in a sick bed, being tended by a doctor and another of the wealthy gentleman-volunteers who sits beside her... knees tightly bent to squat on a low wooden stool up a very tall stone step on which the bed is placed. When Lorenzo did this, he'd likely be in as much agony as she was from the pain of stepping up that step and crouching on that stool, but he couldn't dare show weakness and let people *know* it caused him so much pain.