The Doctor's Dilemma: Preface on DoctorsShaw, Bernard
Philosophy
The Doctor's Dilemma: Preface on Doctors
Shaw, Bernard
Physicians
As to any technical medical problem specially involved, there is none.
If there were, I should not be competent to deal with it, as I am not a
technical expert in medicine: I deal with the subject as an economist, a
politician, and a citizen exercising my common sense. Everything that I
have said applies equally to all the medical techniques, and will hold
good whether public hygiene be based on the poetic fancies of Christian
Science, the tribal superstitions of the druggist and the vivisector, or
the best we can make of our real knowledge. But I may remind those
who confusedly imagine that the medical problem is also the scientific
problem, that all problems are finally scientific problems. The notion
that therapeutics or hygiene or surgery is any more or less scientific
than making or cleaning boots is entertained only by people to whom
a man of science is still a magician who can cure diseases, transmute
metals, and enable us to live for ever. It may still be necessary for
some time to come to practise on popular credulity, popular love and
dread of the marvellous, and popular idolatry, to induce the poor
to comply with the sanitary regulations they are too ignorant
to understand. As I have elsewhere confessed, I have myself been
responsible for ridiculous incantations with burning sulphur,
experimentally proved to be quite useless, because poor people are
convinced, by the mystical air of the burning and the horrible smell,
that it exorcises the demons of smallpox and scarlet fever and makes it
safe for them to return to their houses. To assure them that the real
secret is sunshine and soap is only to convince them that you do not
care whether they live or die, and wish to save money at their expense.
So you perform the incantation; and back they go to their houses,
satisfied. A religious ceremony--a poetic blessing of the threshold, for
instance--would be much better; but unfortunately our religion is weak
on the sanitary side. One of the worst misfortunes of Christendom was
that reaction against the voluptuous bathing of the imperial Romans
which made dirty habits a part of Christian piety, and in some unlucky
places (the Sandwich Islands for example) made the introduction of
Christianity also the introduction of disease, because the formulators
of the superseded native religion, like Mahomet, had been enlightened
enough to introduce as religious duties such sanitary measures as
ablution and the most careful and reverent treatment of everything
cast off by the human body, even to nail clippings and hairs; and our
missionaries thoughtlessly discredited this godly doctrine without
supplying its place, which was promptly taken by laziness and neglect.
If the priests of Ireland could only be persuaded to teach their flocks
that it is a deadly insult to the Blessed Virgin to place her image in a
cottage that is not kept up to that high standard of Sunday cleanliness
to which all her worshippers must believe she is accustomed, and to
Public-domain text, read in full here on John Shaqi.
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