The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
Besides, the calling in of the doctor is now compulsory except in cases
where the patient is an adult--and not too ill to decide the steps to
be taken. We are subject to prosecution for manslaughter or for criminal
neglect if the patient dies without the consolations of the medical
profession. This menace is kept before the public by the Peculiar
People. The Peculiars, as they are called, have gained their name by
believing that the Bible is infallible, and taking their belief quite
seriously. The Bible is very clear as to the treatment of illness.
The Epistle of James; chapter v., contains the following explicit
directions:
14. Is any sick among you? let him call for the elders of the Church;
and let them pray over him, anointing him with oil in the name of the
Lord:
15. And the prayer of faith shall save the sick, and the Lord shall
raise him up; and if he have committed sins, they shall be forgiven him.
The Peculiars obey these instructions and dispense with doctors. They
are therefore prosecuted for manslaughter when their children die.
When I was a young man, the Peculiars were usually acquitted. The
prosecution broke down when the doctor in the witness box was asked
whether, if the child had had medical attendance, it would have lived.
It was, of course, impossible for any man of sense and honor to assume
divine omniscience by answering this in the affirmative, or indeed
pretending to be able to answer it at all. And on this the judge had to
instruct the jury that they must acquit the prisoner. Thus a judge with
a keen sense of law (a very rare phenomenon on the Bench, by the way)
was spared the possibility of leaving to sentence one prisoner (under
the Blasphemy laws) for questioning the authority of Scripture, and
another for ignorantly and superstitiously accepting it as a guide to
conduct. To-day all this is changed. The doctor never hesitates to claim
divine omniscience, nor to clamor for laws to punish any scepticism on
the part of laymen. A modern doctor thinks nothing of signing the death
certificate of one of his own diphtheria patients, and then going into
the witness box and swearing a peculiar into prison for six months
by assuring the jury, on oath, that if the prisoner's child, dead of
diphtheria, had been placed under his treatment instead of that of St.
James, it would not have lived. And he does so not only with impunity,
but with public applause, though the logical course would be to
prosecute him either for the murder of his own patient or for perjury
in the case of St. James. Yet no barrister, apparently, dreams of asking
for the statistics of the relative case-mortality in diphtheria among
the Peculiars and among the believers in doctors, on which alone any
valid opinion could be founded. The barrister is as superstitious as the
doctor is infatuated; and the Peculiar goes unpitied to his cell, though
nothing whatever has been proved except that his child does without
Public-domain text, read in full here on John Shaqi.
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