You can argue about how accurate this is - his salary, though low, was considered within the "normal range" for the time period - but people back then were objectively poor The Cratchit household only functions because their three oldest kids all also have jobs
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And one proposal for what exactly Tiny Tim's disease is is rickets, which was very common among children in that era and is a form of vitamin D deficiency I.e. he's sick because he never gets the chance to go outside and he (and his mom when breastfeeding) has a very poor diet
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The "medical treatment" he needs but can't afford could be as simple as a spoonful of cod liver oil every day
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Scrooge figures Bob is worth 1 bob, tautologically.
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This joke is literally in the book, when we find out Bob Cratchit's name the narrator goes on about how "Bob barely gets 15 of his own Christian name every week"
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Beginning-of-the-story Scrooge now (sigh) defended by New York Times Editorial.
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That’s more than food stamps gives me.
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