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John H. Gaines, M.D.
JAMA. 1891;XVII(21):817-818. doi:10.1001/jama.1891.02410990035003.
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Hot Springs, Ark., Nov. 10, 1891.

Editor The Journal, Chicago, Ill.:  Desirous of calling the attention of the medical profession to the anomalous condition of things existing at this place, I ask the publication in The Journal of such facts as are given herewith:This town is sustained entirely by visitors coming here in search of health or pleasure, mostly the former. There is literally nothing else. The facility with which the invalid can be gulled on his arrival here is startlingly wonderful, and opens a very fine field for sharpers, who are nominally in the profession, aided by ropers who meet the victims on the railroad trains and beguile them first to a boarding house and bath house, and finally to the doctor's office to be robbed and maltreated.This evil has assumed such outrageous proportions, that the few practitioners here who take the code for their guide, are


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