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As someone who lives in Amish country it is well known that you don't buy a dog from them. The worst health, most abused dogs I've ever seen came from Amish farms. I'm sure fighting dogs are worse but I've never dealt with those.

A friend rescued an Amish bred golden retriever that was deaf because it's ears got infected that bad and never treated. The dog was covered in shit and had it compacted in his ears. Who knows for how long. It took a long time to get that dog back to full health.