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Today's Stichomancy for Clint Eastwood

The excerpt represents the core issue or deciding factor on which you must meditate, and is drawn from The Wife, et al by Anton Chekhov:

children; and the long and the short of it is, there is nothing to eat. There is famine and there is a terrible pestilence of hunger, or spotted, typhus; literally every one is stricken. The doctor's assistant says one goes into a cottage and what does one see? Every one is sick, every one delirious, some laughing, others frantic; the huts are filthy; there is no one to fetch them water, no one to give them a drink, and nothing to eat but frozen potatoes. What can Sobol (our Zemstvo doctor) and his lady assistant do when more than medicine the peasants need bread which they have not? The District Zemstvo refuses to assist them, on the ground that their names have been taken off the register