William Carleton,
One Way Out: A Middle-class New-Englander Emigrates to America
“ Sickness was a wicked misfortune to that little crowd. When death did pick one of us, the whole structure of that family came tumbling down like a house of cards. If by the grace of God the man escaped, he was left hopelessly in debt by doctor's bills if in the meanwhile he hadn't lost his job. Sickness meant disaster, swift and terrible whatever its outcome. We ourselves escaped it, to be sure, but I've sweat blood over the mere thought of it.Now if our thoughts ever took so grim a turn, we could speak quite calmly about it. It was impossible for me ever to think of Ruth as sick. ”
