Denmark Vesey: You Think?

Sunday, May 16, 2010

You Think?

Pauline Chen, MD
May 11, 2010
New York Times,
“Young doctors are being educated in a toxic culture,” said Dr. Lucian L. Leape, a leading patient safety expert at the Harvard School of Public Health who was chairman of the report’s committee. “The current environment is hierarchical, stressful for the individual, driven by the fee-for-service payment system and humiliating, all of which works against improving patient safety.” To ensure safer health care, doctors-in-training need time to reflect on their actions, a sense of community with colleagues and other health care workers, and the support to engage freely in disclosing errors.

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"There was of course no way of knowing whether you were being watched at any given moment. How often, or on what system, the Thought Police plugged in on any individual wire was guesswork. It was even conceivable that they watched everybody all the time. But at any rate they could plug in your wire whenever they wanted to. You had to live—did live, from habit that became instinct—in the assumption that every sound you made was overheard, and, except in darkness, every movement scrutinized."

The founders of the American state understood that the proper functioning of a democracy required an educated electorate. It is this understanding that justifies a system of public education and that led slaveholders to resist the spread of literacy among their chattels. But the meaning of "educated" has changed beyond recognition in two hundred years. Reading, writing, and arithmetic are no longer sufficient to decide on public policy. Now we need quantum mechanics and molecular biology. The knowledge required for political rationality, once available to the masses, is now in the possession of a specially educated elite, a situation that creates a series of tensions and contradictions in the operation of representative democracy.

Margaret Sanger. Woman, Morality, and Birth Control. New York: New York Publishing Company, 1922. P

Lord Bertrand Russell, The Impact of Science On Society (Routledge Press: New York, 1951).

"At present the population of the world is increasing at about 58,000 per diem. War, so far, has had no very great effect on this increase, which continued throughout each of the world wars.. War has hitherto been disappointing in this respect, but perhaps bacteriological war may prove effective. If a Black Death could spread throughout the world once in every generation, survivors could procreate freely without making the world too full. The state of affairs might be unpleasant, but what of it?"