From 1918 to 1920 routes were expanded to include Chicago, Cleveland, and Omaha.
Cities on the tour included Philadelphia, Cleveland, and Boston.
Mr. Marino, whose jurisdiction includes Cleveland, said a draft of the clinic's proposal revealed what the doctors really wanted.
Earlier, she was deputy director of community development for Cuyahoga County, Ohio, which includes Cleveland.
Cuyahoga County, which includes Cleveland, lost about $20 million in payroll tax revenue from 2000 to 2003.
Cuyahoga County, which includes Cleveland, hired a consulting firm to review its election system.
The more than 75,000 absentee ballots that have been requested in Cuyahoga County, which includes Cleveland, could decide the election.
Principal cities in the district include Chattanooga, Oak Ridge, and Cleveland.
The counties that include Chicago, Philadelphia, Cleveland and Buffalo also registered losses.
Cities within 50 miles include Cleveland (36 miles to city center).