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Question:

This passage makes the argument that

A the pain scale is not an accurate or adequate way to measure the physical discomfort of certain people, such as the suffering from Marah's disease
explanation

The author says that victims of Marah's disease "appear" to be comfortable but "beneath it all" are in pain. He says that they are "inaccurately" diagnosed as low on the pain scale. This shows that the pain scale is not an accurate way to measure Marah's disease.