To Kill a Mockingbird

How does Bob Ewell explain to Atticus why he did not call for a doctor to examine Mayella? What is Atticus implying by asking both Heck Tate and Bob Ewell this question?

Chapter 16-17

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Ewell says that he has never called a doctor in his life and never thought of doing so. Atticus is implying that Tom cannot be directly blamed if the proper medical process was not followed.