“The standard of that profession is low in Middlemarch, my dear sir,” said the banker. “I mean in knowledge and skill; not in social status, for our medical men are most of them connected with respectable townspeople here. My own imperfect health has induced me to give some attention to those palliative resources which the divine mercy has placed within our reach. I have consulted eminent men in the metropolis, and I am painfully aware of the backwardness under which medical treatment labors in our provincial districts.”

“Yes;⁠—with our present medical rules and education, one must be satisfied now and then to meet with a fair practitioner. As to all the higher questions which determine the starting-point of a diagnosis⁠—as to the philosophy of medical evidence⁠—any glimmering of these can only come from a scientific culture of which country practitioners have usually no more notion than the man in the moon.”