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We tend to view the world from the perspective of our immediate neighborhood. Few of us spend much time thinking about the nature of things more than a few miles from where we sit. Simply use the term global to modify a particular phenomenon and, almost reflexly, the issue becomes theoretical rather than real, and the eyes of the listener begin to glaze over.
See also p 2.
Those of us who deal with deafness and related otologic problems in the United States do so within the framework of a particular cultural bias. How long has it been since you encountered a patient with surgically correctable hearing loss who had no means or opportunity for surgical care? How frequently do you encounter patients with hearing loss that is remediable by amplification who cannot be rehabilitated owing to a lack of personal or societal resources? These instances are rare in North
BAILEY BJ. A Challenge to Otolaryngology. Arch Otolaryngol. 1985;111(1):1. doi:10.1001/archotol.1985.00800030035001
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