Back to Solitary Summer, and to anybody who thinks this is just fluffy garden talk, I'd heartily recommend to read the section on the disastrous intersection of poverty, prejudice and ignorance in the village, particularly insofar as it concerned the children.
"There is a great wall of ignorance and prejudice dividing us from the people on our place, and in every effort to help them we knock against it and cannot move it any more than if it were actual stone. Like the parson on the subject of morals, I can talk till I am hoarse on the subject of health, without at any time producing the faintest impression. When things are very bad the doctor is brought, directions are given, medicines made up, and his orders, unless they happen to be approved of, are simply not carried out. Orders to wash a patient and open windows are never obeyed, because the whole village would rise up if, later on, the illness ended in death, and accuse the relatives of murder. "
No wonder Elizabeth's heart broke every time she went there -- especially knowing that any and all attempts at providing real help would be rejected out of deeply inbred prejudice, and being left with this conclusion:
"At least I had discovered Lotte and could help her a little, I thought, as I departed down the garden path between the rows of scarlet-runners; but the help that takes the form of jelly and iced drinks is not of a lasting nature, and I have but little sympathy with a benevolence that finds its highest expression in gifts of the kind. There have been women within my experience who went down into the grave accompanied by special pastoral encomiums, and whose claims to lady- bountifulness, on closer inquiry, rested solely on a foundation of jelly. Yet nothing in the world is easier than ordering jelly to be sent to the sick, except refraining from ordering it. What more, however, could I do for Lotte than this? I could not take her up in my arms and run away with her and nurse her back to health, for she would probably object to such a course as strongly as her mother; and later on, when she gets well again, she will go back to school, and grow coarse and bouncing and leathery like the others, affording the parson, in three or four years' time, a fresh occasion for grief over deadly sin."