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Mrs. Dubose is very sick and she needs to take a special type of medication for pain, and this medication is very addictive. When she finally decided that it was her time she wanted to die free of the drug, so she asked Jem to read to her to help her distract herself from the drug. That's why every once in a while she has a breakdown because she experiences pain and needs the drug but won't take it; she wanted to die free of her addiction.

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