But there turned out to be, if not a cliff, at least a gulch still embedded in the deal.
I don't mean to imply that doctors are all going to move to Galt's gulch.
"deep ravine," 1832, American English, perhaps from obsolete or dialectal verb gulsh "sink in" (of land), "gush out" (of water), from Middle English gulchen "to gush forth; to drink greedily" (c.1200). Cf. gulche-cuppe "a greedy drinker" (mid-13c.).