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Years and years of plentiful harvests have a direct effect on healthy childbirths, don't they?
And alcoholism seems worse in a land of want rather than plenty. Seems to me that hobbits, modeled after rural Westmidlanders, are probably healthy drinkers rather than over-drinkers. Although the gout would probably get them in the end, no matter the size of their feet or what have you.
By the way, if America is a land of plenty in terms of availability of food and drink and housing, it is a land of great want in terms of community and other things that make the soul healthy.
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