"A Physician was the highest ranking medical man; he was also the only one to be considered a gentleman. Physicians who were few in numbers had studied at a special college, generally resided in London or other big cities, and were considered by the wealthy( the only ones who could afford their fees) on difficult medical questions.In a letter Jane Austen mentions her brother traveling to a nearby town to consult a physician."
The Annotated Pride and Prejudice
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