The Doctor's Dilemma: Preface on Doctors eBook

This eBook from the Gutenberg Project consists of approximately 99 pages of information about The Doctor's Dilemma.

The Doctor's Dilemma: Preface on Doctors eBook

This eBook from the Gutenberg Project consists of approximately 99 pages of information about The Doctor's Dilemma.
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;

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The Doctor's Dilemma: Preface on Doctors from Project Gutenberg. Public domain.