Good writer and story. However, unnecessary gruesome detail, e. g., "Your baby has jaundice and must see a doctor." "Just be one less mouth ter feed (from mother). Another young mother is carrying a dead baby in her arms. And (spoiler alert!) of course the little match girl dies because "she was too stupid to get a warm blanket to cover 'er".
Would have been a 4 or 5, if not for the indirect social commentary

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