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July 2, 1960


JAMA. 1960;173(9):1033. doi:10.1001/jama.1960.03020270059018

The several countries of South America that border on the Atlantic, Pacific, or Caribbean waters are better known to North Americans than the two landlocked countries in the interior. Until a generation ago commercial and cultural exchange with South America was carried out principally by sea, and the inland countries were inaccessible and isolated. Progress, as measured by North American standards, was laggard, and natural resources in great variety were meager. Bolivia and Paraguay are the two countries in the Southern Hemisphere in this category. They have shared less in the advances of the 20th century than the majority of the other countries of the land to the south.1 An occasional American has visited Bolivia for business purposes. A few Europeans, mainly Germans and English, have settled in Bolivia for the same purpose. La Paz, the capital, is the highest in the world. It lies almost 12,000 feet above

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