In this episode of Stuff You Should Know, the hosts examine the case of Linda Hazard, a self-proclaimed doctor who operated a sanitarium in early 20th-century Washington state. Without medical credentials, Hazard subjected patients to extreme fasting regimens lasting over forty days, combined with aggressive treatments she claimed would cure various ailments. Her methods resulted in multiple deaths from apparent starvation, yet she maintained that patients died from pre-existing conditions rather than her treatments.
The episode focuses on the case of the Williamson sisters, two wealthy English women who became Hazard's patients in 1911. After Claire Williamson's death and evidence of financial exploitation emerged, an investigation revealed a pattern of patient deaths and estate manipulation. The episode also explores the broader context of unregulated alternative medicine practices in early 20th-century America and how cases like Hazard's contributed to the eventual establishment of medical licensing requirements and professional standards.

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Linda Burfield, born in 1867 Minnesota, became gravely ill after being prescribed dangerous mercury-based pills as a child. This experience led her to deeply mistrust modern medicine and resolve to become her own doctor. Following her divorce from Edwin Perry, she fell under the influence of Dr. Edward Dewey, an extreme fasting advocate who believed overeating caused disease. Hazard adopted and exaggerated his beliefs, developing a radical fasting regimen involving fasts exceeding forty days, hours-long enemas, and vigorous massages to "eliminate" toxins.
Despite calling herself "Dr. Linda Hazard," she possessed no medical degree or license. After marrying Samuel Hazard, a known con artist, she established "Wilderness Heights" sanitarium in Olalla Woods, Washington. The primitive facility drew wealthy elites and Swedish immigrants, and by 1911, at least seven deaths had occurred—often attributed to starvation. The estates of deceased patients frequently ended up in Hazard's hands, enhancing her wealth and local influence despite mounting evidence of harm.
Hazard authored eleven books, most notably "Fasting for the Cure of Disease" (1908), claiming fasting could cure infertility, alcoholism, depression, and more. She maintained that no one died from her fasting regimen; instead, deaths resulted from pre-existing conditions. She even performed autopsies herself in her cottage bathtub, attributing deaths to natural causes despite clear signs of emaciation and starvation that contradicted her explanations.
The Williamson sisters, orphaned teenagers who inherited substantial wealth, were raised by their devoted governess Margaret Conway. Rejecting Victorian conventions, they became vegetarians and traveled widely seeking natural health cures. While staying at the Empress Hotel in Victoria, British Columbia in 1910, they saw Hazard's advertisement and expressed interest in visiting Wilderness Heights.
In February 1911, Hazard kept the sisters in Seattle apartments rather than taking them directly to Wilderness Heights, likely recognizing their considerable wealth. She initiated an extreme regimen of just two cups of vegetable broth daily and vigorous massages lasting over 40 days. The sisters rapidly weakened and had to be carried by stretcher to Wilderness Heights.
Claire died after just 17 days at Wilderness Heights, weighing under 50 pounds. Hazard claimed liver disease caused the death, but Margaret Conway contested this story. Suspicion grew when Conway saw Hazard wearing Claire's robe and hat, and when shown a body at the mortuary that Conway said was not Claire, suggesting possible evidence tampering.
Following Claire's death, the Hazards held Dora, claiming guardianship and demanding $2,000 for her release. Samuel Hazard produced a fraudulent typewritten statement supposedly dictated by Claire that echoed Hazard's dangerous philosophies. Margaret Conway reached out to the sisters' uncle, John Herbert, whose intervention helped overturn the guardianship claim and secure Dora's release for a reduced payment of $1,000.
John Herbert's investigation revealed that Claire and Dora were not isolated victims. By 1911, seven patients had already died under Hazard's care, six from apparent starvation. The case gained widespread attention, with national and international press converging on Olalla Woods and dubbing the facility "Starvation Heights."
Hazard's trial began on January 15, 1912, with the prosecution presenting about 100 witnesses. Dora testified how Hazard prevented Claire's last words by deliberately interrupting, and how Hazard's aggressive massage caused Claire to lose consciousness before death. The jury convicted Hazard of manslaughter, sentencing her to two to twenty years of hard labor.
Throughout the trial, Hazard retained supporters who argued the prosecution was a campaign against unorthodox medicine. Despite her license revocation, she continued operating illegally during appeals, leading to two more patient deaths before imprisonment.
Hazard served less than two years before being paroled, then received a pardon from Washington's governor with the stipulation she leave the country. She relocated to New Zealand, where she attracted wealthy clients and continued her practices, defending her record by noting that although 15 patients died, she had successfully treated hundreds.
Hazard used her position to gain both medical and financial control over patients. She secured guardianship of Dora and systematically charged exorbitant fees while exploiting the mental confusion caused by starvation. Multiple deceased patients' estates disproportionately benefited the sanatorium, raising questions of undue influence and coercion.
The prosecution emphasized that Hazard had orchestrated a scheme to murder for profit, not merely negligent practice. Margaret Conway played a vital role in exposing the conspiracy after witnessing Hazard wearing Claire's clothing and discovering fraudulent documents. John Herbert's investigation revealed a clear pattern: starvation as a tool of control, systematic appropriation of financial assets, and death followed by the Hazards benefiting from the spoils—representing serial murder driven by greed.
In the early 20th century, the United States lacked unified medical standards, allowing anyone to present themselves as an alternative medicine practitioner. States like Washington permitted grandfathering provisions that enabled practitioners to operate without new licensure or formal training. The sanitarium and spa industry, legitimized by facilities like the Kellogg brothers' Battle Creek location, was popular among the wealthy and normalized a range of questionable health claims.
Fraudulent practitioners like Hazard damaged alternative medicine's credibility through dangerous and exploitative methods. Hazard's case highlighted how legal loopholes allowed dangerous practitioners to evade prosecution due to vague medical standards. While not the sole catalyst for reform, her notorious conviction and pardon provided clear evidence supporting regulatory changes that, along with similar cases, fueled momentum for establishing medical licensing requirements and professional standards in subsequent decades.
1-Page Summary
Linda Burfield, born in Minnesota in 1867, experienced a pivotal event in her childhood that profoundly influenced her health care approach. After being prescribed mercury-based "blue mask" pills by a doctor—a common but dangerous remedy at the time—she became seriously ill, mainly with digestive distress. This experience led her to mistrust modern medicine deeply and sparked a resolve to become her own doctor, and later, a doctor to others.
Following a marriage and subsequent divorce from Edwin Perry, Linda Burfield became heavily influenced by Dr. Edward Dewey, an advocate of extreme fasting. Dewey preached that habitual overeating was the root of disease and that limiting food intake could cure most ailments. Under Dewey's influence, Hazard adopted—and exaggerated—his beliefs.
Hazard developed her own radical fasting regimen, involving fasts of over forty days, supplemented with hours-long enemas and vigorous massages intended to "eliminate" toxins. These three pillars—intense fasting, protracted enemas, and massage—became the core of her treatment philosophy.
Despite calling herself "Dr. Linda Burfield Perry" before remarrying and later settling on "Dr. Linda Hazard," she possessed no medical degree and never acquired a license to practice medicine. In her early years, she operated outside the law, dispensing advice and acting as a fasting specialist.
After marrying Samuel Hazard, a known con artist, Linda moved to Seattle and later established "Wilderness Heights," her sanitarium located in the Olalla Woods, Washington. The facility consisted of primitive cabins, her own cottage, and land that made her wealthy. She presented herself as more highly educated than most in the area, gaining both local respect and the trust of her clientele, which included wealthy elites and poorly educated Swedish immigrants.
Even as bodies began accumulating at her facility—including at least seven deaths by 1911, often attributed to starvation—Hazard's reputation drew patients. The estates of deceased patients frequently ended up in Hazard's hands, further enhancing her wealth and influence. Locals showed deference toward her, believing in her supposed medical expertise despite mounting evidence of harm.
Her cottage, where the autopsies were carried out, stood for nearly a century and still contained furnishings, including the infamous bathtub where she performed these procedures.
Linda Hazard authored eleven books, with "Fasting for the Cure of Disease" (1908) being the most prominen ...
Linda Hazard's Background, Philosophy, and Fasting Cure Methods
The Williamson sisters, Claire and Dora, were independent women of the 1890s who inherited wealth as orphaned teenagers—first in India in 1873 and then in London in 1877. Raised largely by their devoted governess, Margaret Conway, who remained a constant maternal figure, they stayed close to each other throughout their lives.
Rejecting the conventions of their era, Claire and Dora refused to wear uncomfortable corsets, gave up meat in favor of vegetarianism—a highly unusual choice at the time—and traveled widely in search of natural health cures. Their curiosity about alternative medicine led them to different sanitariums and health clinics around the world. While staying at the Empress Hotel in Victoria, British Columbia, in 1910, the sisters saw an advertisement from Dr. Linda Hazard and wrote to her, expressing interest in visiting her infamous Wilderness Heights facility.
In February 1911, when the Williamsons were in their 30s, they contacted Dr. Hazard while at the luxurious Empress Hotel, intending to pursue her treatment. Instead of taking them directly to Wilderness Heights, Hazard kept them in downtown Seattle apartments, claiming the Olalla Woods retreat was not yet operational—despite it being ready. Hazard’s decision likely hinged on her recognition of their considerable wealth, making them prime targets.
She initiated an extreme regimen involving a daily fast of just two cups of vegetable broth (from asparagus tips, spinach, and lettuce) and vigorous massages. This lasted for over 40 days. The sisters rapidly lost weight and grew weak; by the 50th day, they were so depleted that they had to be carried by stretcher to the Wilderness Heights compound in the Olalla forest.
Claire Williamson survived just 17 days at Wilderness Heights, dying at less than 50 pounds. Hazard claimed Claire died from liver disease stemming from a childhood medical treatment that supposedly caused organ shrinkage. Margaret Conway, who had raised the sisters, immediately contested this story, stating that Claire had never undergone any such childhood treatment.
Suspicion grew when Linda Hazard met Margaret wearing Claire’s own robe and favorite hat. At the mortuary, Conway was shown a body she said was not Claire, suggesting a possible attempt to hide evidence of starvation. Rumors circulated that the mortuary, possibly acting in collusion with the Hazards, swapped emaciated bodies with healthier ones unrelated to Wilderness Heights to obscure the true cause of death from bereaved families.
Tragic Case: Wealthy Sisters Claire and Dora Williamson As Hazard's Victims
John Herbert’s investigation into Linda Hazard exposed that Claire and Dora Williamson were not the only victims. Herbert discovered that, like the sisters, several other patients had been exploited financially while suffering from starvation-induced delirium at Wilderness Heights. By the time the Williamson sisters arrived in 1911, seven patients had already died under Hazard's care, six from apparent starvation. The case rapidly gained widespread attention. National and international press converged on Olalla Woods, rechristening Wilderness Heights as “Starvation Heights.” Hazard, already notorious among locals, was soon widely known as "the starvation doctor," and her facility became the center of a sensational news story that reached well beyond regional boundaries.
On January 15, 1912, Linda Hazard's trial began, focusing on the obvious financial fraud and negligent homicide of Claire Williamson. The prosecution brought forth about 100 witnesses, including many medical experts, to refute Hazard’s claims that starvation could not cause death. During the trial, Dora Williamson gave powerful testimony recounting how Hazard prevented Claire’s last words to her. Every time Claire attempted to speak, Hazard would deliberately interrupt, asking irrelevant questions or insisting on details, effectively silencing her in her dying moments. Another disturbing detail emerged: Hazard insisted on giving Claire one of her "famous massages," pressing down so aggressively that Claire lost consciousness before her death. In the end, the jury issued a compromise verdict, convicting Hazard of manslaughter and sentencing her to two to twenty years of hard labor at Walla Walla Penitentiary.
Throughout the process, Hazard retained many supporters, especially among alternative medicine practitioners and in sympathetic media coverage. These supporters argued that the prosecution was part of a campaign against unorthodox medicine, alleging the American Medical Association sought to eliminate competition from alternative practitioners. Despite the revocation of her license to practice in Washington, Hazard continued to operate illegally during her appeals, leading to the deaths of two more patients before she was finally imprisoned. She appealed her conviction persistently, taking the case all the way to the United States Supreme Court, and throughout this period ...
Investigation, Trial, Conviction For Manslaughter, and Controversial Pardon
Linda Hazard used her position as a doctor to gain control over her patients, both medically and financially. She was able to secure legal guardianship of Dora, making her husband Samuel Hazard the controller of all Dora and her family's financial matters. This allowed the Hazards to confine Dora to their compound, Wilderness Heights, as her health sharply declined. Evidence surfaced that multiple deceased patients' estates and wills disproportionately benefited the sanatorium, raising questions of undue influence and coercion in their final days. From an outsider's perspective, it appeared that these patients believed in Hazard's practice so fully that they intended to support its continuation with their estates.
Meanwhile, Hazard systematically charged exorbitant medical fees for her so-called treatments. She exploited the mental confusion and delirium brought on by starvation, as well as relevant legal loopholes, to extract as much money as possible from her victims. Many, while incapacitated, were coerced or manipulated into making the Hazards their beneficiaries.
The case against Hazard focused not only on the deaths of her patients but also on her clear financial motive. The prosecution emphasized that this was not merely a matter of negligent medical practice—Hazard had orchestrated a scheme to murder for profit, a situation far graver and more premeditated than simple malpractice. As Josh Clark observed, most doctors who lose patients do not also strip them of their estates; the combination of murder and profit-focused exploitation marked Hazard's crimes as especially egregious.
Margaret Conway played a vital role in exposing the financial conspiracy. Unlike others, Conway was not blinded by Hazard's authority or Samuel Hazard's charm. Her suspicions we ...
Patient Exploitation and Murder For Inheritance
In the early 20th century, the United States had not yet established unified rules or standards for the medical profession. It was a time when anyone could present themselves as an alternative medicine practitioner, and there were no federal or broadly-accepted state laws prohibiting unlicensed medical claims or practices.
States like Washington allowed practitioners such as Linda Hazard to operate legally under grandfathering provisions. These rules enabled individuals practicing before certain laws were enacted to continue their work without the need for new licensure or formal medical training, providing legal cover for alternative and often dubious forms of medicine.
The era also saw the popularity of sanitariums and health spas, which attracted affluent clients and lent legitimacy to the alternative medicine movement. The Kellogg brothers’ facility in Battle Creek served as a prominent example, blending diet, exercise, and experimental treatments. This atmosphere normalized a range of health claims and practices, some sensible and some questionable, at the time.
Fraudulent figures such as Linda Hazard took advantage of the unregulated environment. While some practices promoted at the time, like healthy eating and exercise, were sound, practitioners like Hazard discredited alternative medicine through dangerous and exploitative methods.
Linda Hazard’s case, particularly involving the Williamson sisters, highlighted how legal loophol ...
Early 20th Century Alternative Medicine and Regulation
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