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The usual model of bureaucratic valetudinarianism is to identify some group of commercial malefactors supposedly acting as a nefarious trust.
Well, I ought to be glad, after ten years of the worst training on earth - valetudinarianism - that I can still be troubled by a duty.
It is not, however, a piece of dismayed authorial valetudinarianism, but rather a novel of accumulated wisdom, with Mr. Updike in full control of his subtle, crafty and incessantly observing art.