Doctor: one who cures those suffering from disease esp. by
use of medicine.
So runs one dictionary definition - but is that what a doctor
really is? Certainly a doctor must be expected to try to
cure a person suffering from a disease or as a result
of an accident, if a full return to health can
be expected by the victim as a result of the treatment.
Now, thankfully, the world has been rid of smallpox, or so
it seems, and had almost been rid of tuberculosis as
a result of modern science. But now we find that nine
children in one school have TB. Fortunately, the disease
can now be cured: the cure of children who have a long
useful life in front of them is, I feel, far more important
than the temporary relief of pain for the aged person who
will probably only live a couple more years. Children are
useful members of the society of the future and the
aged have already ceased to be useful, and so are
sponging off society more than they should be allowed to.
Is this attitude fascist? Undoubtedly, and it is not
one with which I hold.
What I am saying, however, is
that the first priority of the doctors must be to cure
those for whom full recovery is possible - and not
the older members of society. There is no question at all
in my mind that all invalids should be treated as much
as is possible. There is a problem. Who finances the treatment?
The taxpayer, perhaps? Or the victim?
On the question of prevention of illness, there is now little
that can be done. If people did not drive on the road,
there would be no road accidents. No smoking restrictions
would lead to less deaths from lung cancer and associated
diseases. But there is no way in which cigarettes, alcohol,
car driving and the like could ever be banned. Inoculation
is no longer needed for a great many diseases and for
those where it is, parents are equally stubborn. "I couldn't
possibly let little Jimmy have an anti-whooping-cough
vaccination. I mean, I once read about somebody who got
brain damage as a result. I'm not putting little Jimmy to
any unnecessary danger." The danger of dying from the cough
is 120 times the chance of even slight damage from
the vaccine. The medical profession obviously needs
to educate the population in a way which is near to
impossible: near to the actual truth, rather than the
sensational stories that every day shift so many
million copies of the Mirror, Sun and Star.
What of research? Again, the typical man-in-the-street
approach is not really helpful:
The main time-wasting factor of the current situation is for
such trivia as the doctor's note. The necessity for this
document appears to lie in an intrinsic distrust of the
human race. You claim you were unwell last week and
unable to attend work. This you tell your boss, who won't
believe you unless you have a signed note from your doctor
saying you were ill. So you tell him. He doesn't care
whether you were off ill or out playing golf so he signs
a note saying you were ill. Result: bureaucracy that
the medical profession could well do without.
Many people visit the doctor although there is nothing
wrong with them. Twentieth century life is trying, even
for twentieth century man or twentieth century woman.
Sometimes they come to the doctor with a problem of
worry, inability to sleep, stress, problems at work
and a whole list of non-medical ailments. All these
were dealt with in time past by such people as the
priest and vicar, but now, in these times which are sadly
lacking in Christian belief, it is the doctor to whom
such problems are taken. Certainly he must concentrate
on helping these people as much as he can - though, as he is
unqualified in this field, they are unlikely to be cured by
him. I still think that, as in the definition, doctors
should be concentrating on healing people who, after
the cure, can make a full and useful return to the
life of the community.
"I think research is necessary: how can you try new cures
unless you test them? If they were successful you'd be
able to cure thousands more people with it! And if it was a
failure...(mumble, mumble)"
Interviewer: "Would you be prepared to act as a guinea-pig?"
"Yes, I would. But I couldn't possibly: I've got my family
and kids to think of. I'd like to help, but sorry, no!"
Attitudes like that are again produced by the mass
media.