What does scale mean in the sentence

How do i can change this sentence : a modern physician in a small town not only is proficient in general medicine but surgery as well. to parallel structure?

As for this city's government, i don't want to say much, except that it is a shame – a shame; but if i should live twenty-five years longer – and there is no reason why i shouldn't – i think i'll see women handle the ballot. which quotation correctly uses ellipsis to shorten twain’s words? as for this city's government, i don't want to say much, except that it is a shame . . a shame; but if i should live twenty-five years longer – and there is no reason why i shouldn't . . i think i'll see women handle the ballot. as for this city's government, i don't want to say much, except that it is a shame – a shame; but if i should live twenty-five years longer . . i shouldn't – i think i'll see women handle the ballot. as for this city's government, i don't want to say much, except that it is a shame – a shame; but if i should live twenty-five years longer – and there is no reason why i shouldn't . . as for this city's government, i don't want to say much, except that it is a shame – a shame; but if i should live twenty-five years longer . . i think i'll see women handle the ballot.

What element does susan b. anthony include in this passage to strengthen her argument?