persecuted for a century by generations of apothecary-doctors
whose incomes depended on the quantity of drugs they
could induce their patients to swallow. These
two cases of ordinary vaccination and homeopathy are
typical of all the rest. Just as the object of
a trade union under existing conditions must finally
be, not to improve the technical quality of the work
done by its members, but to secure a living wage for
them, so the object of the medical profession today
is to secure an income for the private doctor; and
to this consideration all concern for science and
public health must give way when the two come into
conflict. Fortunately they are not always in conflict.
Up to a certain point doctors, like carpenters and
masons, must earn their living by doing the work that
the public wants from them; and as it is not in the
nature of things possible that such public want should
be based on unmixed disutility, it may be admitted
that doctors have their uses, real as well as imaginary.
But just as the best carpenter or mason will resist
the introduction of a machine that is likely to throw
him out of work, or the public technical education
of unskilled laborers’ sons to compete with
him, so the doctor will resist with all his powers
of persecution every advance of science that threatens
his income. And as the advance of scientific
hygiene tends to make the private doctor’s visits
rarer, and the public inspector’s frequenter,
whilst the advance of scientific therapeutics is in
the direction of treatments that involve highly organized
laboratories, hospitals, and public institutions generally,
it unluckily happens that the organization of private
practitioners which we call the medical profession
is coming more and more to represent, not science,
but desperate and embittered antiscience: a statement
of things which is likely to get worse until the average
doctor either depends upon or hopes for an appointment
in the public health service for his livelihood.
So much for our guarantees as to medical science.
Let us now deal with the more painful subject of medical
kindness.
DOCTORS AND VIVISECTION
The importance to our doctors of a reputation for
the tenderest humanity is so obvious, and the quantity
of benevolent work actually done by them for nothing
(a great deal of it from sheer good nature) so large,
that at first sight it seems unaccountable that they
should not only throw all their credit away, but deliberately
choose to band themselves publicly with outlaws and
scoundrels by claiming that in the pursuit of their
professional knowledge they should be free from the
restraints of law, of honor, of pity, of remorse,
of everything that distinguishes an orderly citizen
from a South Sea buccaneer, or a philosopher from
an inquisitor. For here we look in vain for either
an economic or a sentimental motive. In every
generation fools and blackguards have made this claim;