First published in 1985, The Cider House Rules is set in rural Maine in the first half of the twentieth century. The novel tells the story of Dr. Wilbur Larch-saint and obstetrician, founder and director of the orphanage in the town of St. Cloud's, ether addict and abortionist. This is also the story of Dr. Larch's favorite orphan, Homer Wells, who is never adopted.

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