C. to compare loneliness to an undesirable illness or disease that is difficult to cure
McCuller describes Americans as people who are obsessed about loneliness. They do not want to be isolated from the rest. They always want to be with someone. Therefore, the writer uses the word malady since this refers to an illness that is hard to cure. This means, then, that the Americans will do whatever to escape loneliness since if one happens to be alone, that person will not be loved and will get isolated from society. This is exactly what any American will avoid.
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