Tender is the Night Foreignness and 'the Other' Quotes

How we cite our quotes: Citations follow this format: (Book.Chapter.Paragraph)

Quote #10

In the last letter she had from him he told her that he was practising in Geneva, New York, and she got the impression that he had settled down with some one to keep house for him (3.13.3).

Geneva, New York, Geneva, Switzerland, what’s the difference, anyway? Do we get the idea that Dick having to work in America instead of Europe is a symbol of his failure? We rarely see America in the novel, almost as if it’s the most foreign place of all. Could Dick have found happiness back in the U.S.? Why or why not?