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[181] From an early age, Garland had been billed as "the little girl with the leather lungs," [183] a designation the singer later admitted to having felt humiliated by because she would have much preferred to have been known to audiences as a "pretty" or "nice little girl." [185] Jessel recalled that even at only 12 years old, Garland's singing voice resembled that of "a woman with a heart that had been hurt." [183] The Kansas City Star contributor Robert Trussell cited Garland's singing voice as one of the reasons that her role in The Wizard of Oz remains memorable, writing that although "[s]he might have been made up and costumed to look like a little girl

In fact, the Centers for Disease Control and Prevention (CDC) reports that in 2020, 12.5 percent of U.S