What does this mean? " Many American ladies on leaving their native land adopt an appearance of chronic ill-health, under the impression that it is a form of European refinement,"
Novel:Canterville Ghost

The given lines show the vain ways of some American ladies who pretended to get some disease or be unwell as they moved out of their native place to other countries. They felt is was fashionable to show frailty of health! But, Mrs Otis was a healthy and robust lady.

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