If, by tying its main artery, we stop most of the blood going to
a limb, then, for as long as the limb performs its function, those
parts which are called into play must be wasted faster than they
are repaired: whence eventual disablement. The relation between due
receipt of nutritive matters through its arteries, and due discharge
of its duties by the limb is a part of the physical order. If, instead
of cutting off the supply to a particular limb, we bleed the patient
largely, so drafting away the materials needed for repairing not one
limb but all limbs, and not limbs only but viscera, there results both
a muscular debility and an enfeeblement of the vital functions. Here,
again, cause and effect are necessarily related. The mischief that
results from great depletion, results apart from any divine command, or
political enactment, or moral intuition. Now advance a step. Suppose
the man to be prevented from taking in enough of the solid and liquid
food containing those substances continually abstracted from his blood
in repairing his tissues: suppose he has cancer of the esophagus and
cannot swallow--what happens? By this indirect depletion, as by direct
depletion, he is inevitably made incapable of performing the actions
of one in health. In this case, as in the other cases, the connection
between cause and effect is one that cannot be established, or altered,
by any authority external to the phenomena themselves. Again, let
us say that instead of being stopped after passing his mouth, that
which he would swallow is stopped before reaching his mouth; so that
day after day the man is required to waste his tissues in getting
food, and day after day the food he has got to meet this waste, he is
forcibly prevented from eating. As before, the progress toward death
by starvation is inevitable--the connection between acts and effects
is independent of any alleged theological or political authority. And
similarly if, being forced by the whip to labor, no adequate return
in food is supplied to him, there are equally certain evils, equally
independent of sacred or secular enactment.
Public-domain text, read in full here on John Shaqi.
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