From Ohio History Central
no edit summary
Despite these improvements in training, both patients and doctors faced numerous difficulties during this time period. Sanitation was a major issue. Dr. Richmond performed the Caesarean birth in a small cabin that had a dirt floor. The lack of sewers and the use of public wells in cities and towns allowed diseases to spread rapidly. Many poorer Ohioans found doctors' fees to be exorbitant, ranging from fifty cents for an office visit to seventy-five dollars to remove kidney stones. Many patients paid their medical bills in produce due to their lack of cash. Unfortunately for both the patients and doctors, this practice precluded many physicians from buying more advanced medical equipment, further hampering medical care.