In the new edition of the New Criterion, Dalrymple reviews a new biography of Margaret Sanger by Jean H. Baker. Sanger founded the organization that later became Planned Parenthood, the largest provider (by far) of abortions in the United States and a focus of political controversy. Dalrymple praises the biography, and while his criticism of Sanger herself is firm, it is not quite as scathing as one might expect:
She... ended up, with Marie Stopes, as the most famous advocate of contraception in the world, whom writers and prime ministers courted and flattered. She was brave, intelligent, a good administrator, and determined to the point of monomania. She was also egotistical, selfish, and not always a devotee of the truth.
He also notes Sanger's embrace of eugenics, common among the early 20th Century American progressives who were the forerunners of modern liberals. A famous quote from Sanger: “More children from the fit, less from the unfit — that is the chief issue of birth control".
Update: I forgot the link! The review is here (subscription required).
It is not surprising, then, that opium dreams, and illusions and hallucinations, are important in his first works of fiction—for example in The Phantom Rickshaw. The very first of his fictional works, written and published when he was only 19, is “The Gate of a Hundred Sorrows,” an account of an opium den in Lahore narrated by a Eurasian habitué of it. Very brief, it is an astonishingly assured piece of work.The narrator, Gabral Misquitta, is in receipt of a legacy that yields sixty rupees a month, which he entrusts to the owner of the opium den known as the Gate of a Hundred Sorrows, an old Chinaman called Fung-Tching. In return Misquitta has unlimited access to opium, which he calls the Black Smoke. Under the influence of the drug, the black and red dragons “and things” that adorned the pillows “used to move about and fight.”Misquitta’s notion of happiness is that of many people today, and perhaps explains why they go in for intoxication of one kind or another:Sometimes when I first came to the Gate, I used to feel sorry for it; but that’s all over and done with a long time ago, and I draw my sixty rupees fresh and fresh every month, and am quite happy. Not DRUNK happy, you know, but always quiet and soothed and contented.
Johnson, whom Voltaire (wrongly) called a superstitious dog, believed that science would help to relieve mankind of much misery, but not of misery as such. Living at a time when poverty meant not an income lower than 60% of the median income but having little to eat and rags to wear, it was perhaps prescient of him to realise that, notwithstanding the horrors of poverty that he never underestimated, material progress would not mean full and final happiness.A religious man, or perhaps (better) a man striving to keep his religious belief intact, one of his preoccupations was the problem of how an infinitely wise, powerful, knowing, and benevolent God could permit such suffering in the world. Among the great causes of suffering, of course, were disease and illness. When Johnson was writing his great Rambler, Idler, and Adventurer essays, half of all children in London died before their fifth birthday, and the city was so unhealthy that its population grew only because of migration from the countryside. The search for good health is not a cause of mass migration.In one of his lay sermons, Johnson tackled the question of how much suffering was attributable to God’s will. He wrote:In making an estimate, therefore, of the miseries that arise from the disorders of the body, we must consider how many diseases proceed from our own laziness, intemperance, or negligence; how many the vices or follies of our ancestors have transmitted to us; and beware of imputing to God, the consequences of luxury, riot, and debauchery. There are, indeed, distempers which no caution can secure us from, and which appear to be more immediately the strokes of heaven; but these are not of the most painful or lingering kind; they are for the most part acute and violent, and quickly terminate, either in recovery or death; and it is always to be remembered, that nothing but wickedness makes death an evil.The last sentence makes sense, of course, only if there is a future state of being whose felicities are handed out according to our desert in this life; and perhaps pedantically inclined philosophers might say that otherwise it is not death itself that is an evil, but only the truncation of existence that might have been more prolonged and is foregone by the intervention of death.
Circumstances, then, alter both medical conduct and ethics.Of course, 16 percent of the refugees given the drug benefited from it, in that their worms were eliminated and infestations are deleterious for health. Moreover, there would have been possible public health benefits to the administration as well, because people who do not have worms cannot spread them to others.It is difficult to work oneself into a lather of indignation about the whole business; but from the point of view of medical ethics, the paper is certainly not without theoretical interest.
Dalrymple recounts an infamous medical malpractice trial in this BMJ column (subscription required):
In 1870 the man who was to become the first professor of orthopaedic surgery in the United States, Lewis A Sayre (1820-1900), was sued by the parents of Margaret Walsh, a little girl on whom he operated in 1868. He published at his own expense the proceedings of the trial, which vindicated him, under the title The Alleged Malpractice Suit of Walsh v Sayre.
....
Samuel Gross, professor of surgery at the Jefferson Medical College and the subject of Thomas Eakins’s great painting of Gross operating, The Gross Clinic, wrote a congratulatory preface to Sayre’s transcript of the trial...: “Some members of the American bar are, unfortunately, too prone, for the sake of a paltry fee, to encourage and engage in such prosecutions.”
I am glad to say, however, that not everything has remained the same: the fees are no longer paltry.
It is important first to distinguish between unfairness an injustice, but it is also necessary to be aware that the righting of injustice has to be weighed against other considerations. It is possible – I think likely – that a totally just society would be a horrible one. One that was fair would be intolerably dull, for it would eliminate difference.It also includes a good description of what surely animates many crusading reformers: not correcting injustice exactly, but the meaning in life to be found by correcting perceived injustice.
Sometimes reformers are right; glaring anomalies are susceptible to correction. It is not difficult to find historical examples, nor is it difficult to find examples of necessary reforms in all contemporary societies. Unfortunately, however, reform can easily become a substitute religion, giving meaning to the lives of reformers. As a substitute religion it is not a very satisfactory one...Read it here
If a doctor is presented with a girl of 13 who tells him she is having sexual intercourse how can he not prescribe the Pill?He has to do what he thinks is best for his patient and he cannot possibly think it best that she should become pregnant, much less have a baby.That would certainly not be in her interest, nor in society’s (though the latter cannot be the doctor’s main consideration).He has little option but to prescribe, though this puts him in the awkward situation of conniving at what the law says is a sexual crime.
In Dublin, the artist Frank Buckley has constructed the interior walls of his flat with bricks made of shredded, de-commissioned Euro bank notes—with a face value of 1.4 billion Euros—that the Irish mint gave him for this purpose. All the furniture in the flat, including the microwave and the lavatory, is also lined with the shredded notes. He calls the lavatory “the Bertie bowl,” after Bertie Ahern, the now- discredited prime minister who presided over and benefited politically from the Irish property bubble that has indebted the country for decades to come....Ireland having since been placed more or less under the tutelage of the European Central Bank, the European Union, and the International Monetary Fund, Buckley has erected a tomb to Irish sovereignty in one of his flat’s three rooms. Initially intended as a private home—Buckley has praised shredded Euro bank notes for their heat-insulating quality—his flat, literally made of money, soon had so many visitors that he decided to open it as a museum.
What, you might ask, was such a man doing at liberty? Well, most importantly, he was providing a living for the lawyers who defended him when he was caught: he was what one might call a criminal Keynesian. And he was providing ammunition for penological liberals who argue that prison doesn’t work. After all, he had been to prison and still he set fire to the furniture store, endangering the lives of so many people!
Three recent papers in The Lancet propose the benefits of low-dose aspirin both in the prevention of certain cancers and in their spread once they have developed...
Does this mean that those of us who have reached the age of cancer — the incidence of cancer rises with age — should all be taking low-dose aspirin prophylactically? There is no indubitably correct answer to this question, and it all depends on your scale of values.
Dalrymple in the British Medical Journal (subscription required):
There is something fascinating about the memoirs of the servants or confidants of great dictators. They allow us to see raw power close up, and to thrill to its horror. Personally, I can never resist a book with the title I Was X’s Y, where X was a dictator and Y was his maid, secretary, or chauffeur.
Doctors have written memoirs of dictators. Among the most famous, or infamous, are those of Dr Li Zhisui, The Private Life of Chairman Mao. When they were published there was a controversy as to how genuine they were, with both translator and publisher accused of spicing them up to attract sales. The author himself was accused of claiming a closer relationship than he really had with the Great Helmsman, whose insatiable sexual appetite and deficient personal hygiene, an unfortunate combination, he describes in horrifying detail.
Hitler’s doctor, Theodor Morell, kept a secret diary in which he recorded his master’s manifold symptoms and his unconventional treatment of them (he was known sarcastically as the chief Reich injection officer)—treatment which is thought by many to have hastened Hitler’s physical deterioration. Once in US captivity, Morell himself claimed to have applied such treatment precisely for that end; but then he would, wouldn’t he?
Franco’s dentist, Julio Gonzalez Iglesias, wrote a memoir called Los Dientes de Franco (Franco’s Teeth), a dental biography of the Caudillo, in which we learn the effect Franco’s continual dental problems—he suffered greatly from toothache—had upon his temper and hence upon his decisions.
Dalrymple had an Op-Ed in last Friday's Wall Street Journal (h/t: Joel U.) on incivility in modern Britain and its "militant or ideological edge":
Even middle-class people now behave in an increasingly uncouth and rough fashion in Britain because they think that by doing so they are expressing their solidarity with the lower reaches of their society. Imitation, they think, is the highest form of sympathy. This, of course, is an implicit insult to many of the poor, for poverty and unmannerliness are by no means the same thing.
Read the piece and its 183 comments (some of which are not filled with outrage) here.