own treatment right and at the same time think his
colleague right in prescribing a different treatment
when the patient is the same. Anyone who has ever
known doctors well enough to hear medical shop talked
without reserve knows that they are full of stories
about each other’s blunders and errors, and
that the theory of their omniscience and omnipotence
no more holds good among themselves than it did with
Moliere and Napoleon. But for this very reason
no doctor dare accuse another of malpractice.
He is not sure enough of his own opinion to ruin another
man by it. He knows that if such conduct were
tolerated in his profession no doctor’s livelihood
or reputation would be worth a year’s purchase.
I do not blame him: I would do the same myself.
But the effect of this state of things is to make
the medical profession a conspiracy to hide its own
shortcomings. No doubt the same may be said of
all professions. They are all conspiracies against
the laity; and I do not suggest that the medical conspiracy
is either better or worse than the military conspiracy,
the legal conspiracy, the sacerdotal conspiracy, the
pedagogic conspiracy, the royal and aristocratic conspiracy,
the literary and artistic conspiracy, and the innumerable
industrial, commercial, and financial conspiracies,
from the trade unions to the great exchanges, which
make up the huge conflict which we call society.
But it is less suspected. The Radicals who used
to advocate, as an indispensable preliminary to social
reform, the strangling of the last king with the entrails
of the last priest, substituted compulsory vaccination
for compulsory baptism without a murmur.
THE CRAZE FOR OPERATIONS
Thus everything is on the side of the doctor.
When men die of disease they are said to die from
natural causes. When they recover (and they mostly
do) the doctor gets the credit of curing them.
In surgery all operations are recorded as successful
if the patient can be got out of the hospital or nursing
home alive, though the subsequent history of the case
may be such as would make an honest surgeon vow never
to recommend or perform the operation again.
The large range of operations which consist of amputating
limbs and extirpating organs admits of no direct verification
of their necessity. There is a fashion in operations
as there is in sleeves and skirts: the triumph
of some surgeon who has at last found out how to make
a once desperate operation fairly safe is usually
followed by a rage for that operation not only among
the doctors, but actually among their patients.
There are men and women whom the operating table seems
to fascinate; half-alive people who through vanity,
or hypochondria, or a craving to be the constant objects
of anxious attention or what not, lose such feeble
sense as they ever had of the value of their own organs
and limbs. They seem to care as little for mutilation
as lobsters or lizards, which at least have the excuse