Why is he there? If he lives in paris
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He doesn't live in Paris. He doesn't have the money to live in France but longs to do so,
"The doctor had once for a short time been a part of the great world and his whole subsequent life was memory and longing for France... "That," he said, "was civilized living"- by which he meant that on a small income he had been able to keep a mistress and eat in restaurants."
I don't recall how he came to the small town but he seems stuck there because of his lack of money.