BTW if you want to know exactly how bad income inequality was in Victorian London, Bob Cratchit's "15 bob a week" is about as much purchasing power as $75 a week today, or $4,000 a year When Scrooge bitches about having to pay Bob for his day off he's bitching about $15https://twitter.com/AlexandraErin/status/1342563628214607879 …
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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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