The Speaker of the house is elected by the

The Speaker is elected at the beginning of a new Congress by a majority of the Representatives-elect from candidates separately chosen by the majority- and minority-party caucuses. These candidates are elected by their party members at the organizing caucuses held soon after the new Congress is elected.

Do you have more info about it ? i doubt this is the answer because i don't have all the information but if trouble was brewing in a clinic maybe it was an argument as to which clinic was better or smth of that nature

The answer should be europe