DOCTOR'S CONSCIENCES

There is another difficulty in trusting to the honor and conscience of

a doctor. Doctors are just like other Englishmen: most of them have

no honor and no conscience: what they commonly mistake for these is

sentimentality and an intense dread of doing anything that everybody

else does not do, or omitting to do anything that everybody else

does. This of course does amount to a sort of working or rule-of-thumb

conscience; but it means that you will do anything, good or bad,

provided you get enough people to keep you in countenance by doing it

also. It is the sort of conscience that makes it possible to keep order

on a pirate ship, or in a troop of brigands. It may be said that in

the last analysis there is no other sort of honor or conscience in

existence--that the assent of the majority is the only sanction known to

ethics. No doubt this holds good in political practice. If mankind knew

the facts, and agreed with the doctors, then the doctors would be in

the right; and any person who thought otherwise would be a lunatic. But

mankind does not agree, and does not know the facts. All that can

be said for medical popularity is that until there is a practicable

alternative to blind trust in the doctor, the truth about the doctor is

so terrible that we dare not face it. Moliere saw through the doctors;

but he had to call them in just the same. Napoleon had no illusions

about them; but he had to die under their treatment just as much as the

most credulous ignoramus that ever paid sixpence for a bottle of strong

medicine. In this predicament most people, to save themselves from

unbearable mistrust and misery, or from being driven by their conscience

into actual conflict with the law, fall back on the old rule that if you

cannot have what you believe in you must believe in what you have. When

your child is ill or your wife dying, and you happen to be very fond of

them, or even when, if you are not fond of them, you are human enough to

forget every personal grudge before the spectacle of a fellow creature

in pain or peril, what you want is comfort, reassurance, something to

clutch at, were it but a straw. This the doctor brings you. You have a

wildly urgent feeling that something must be done; and the doctor does

something. Sometimes what he does kills the patient; but you do not know

that; and the doctor assures you that all that human skill could do

has been done. And nobody has the brutality to say to the newly bereft

father, mother, husband, wife, brother, or sister, "You have killed your

lost darling by your credulity."

The Doctor's Dilemma: Preface on Doctors · 第 5 / 52 题