Lewis Thomas Quotes

I can think of a few microorganisms, possibly the tubercle bacillus, the syphilis spirochete, the malarial parasite, and a few others, that have a selective advantage in their ability to infect human beings, but there is nothing to be gained, in an evolutionary sense, by the capacity to cause illness or death. Pathogenicity may be something of a disadvantage for most microbes, carrying lethal risks far more frightening to them than to us. The man who catches a meningococcus is in considerably less danger for his life, even without chemotherapy, than meningococci with the bad luck to catch a man.

If we have learned anything at all in this century, it is that all new technologies will be put to use, sooner or later, for better or worse, as it is in our nature to do.

Ants are more like the parts of an animal than entities on their own. They are mobile cells, circulating through a dense connective tissue of other ants in a matrix of twigs. The circuits are so intimately interwoven that the anthill meets all the essential criteria of an organism.

We hanker to go on, even in the face of plain evidence that long, long lives are not necessarily pleasurable in the kind of society we have arranged thus far. We will be lucky if we can postpone the search for new technologies for a while, until we have discovered some satisfactory things to do with the extra time.

It is nice to think that there are so many unsolved puzzles ahead for biology, although I wonder whether we will ever find enough graduate students.

Perhaps the safest thing to do at the outset, if technology permits, is to send music. This language may be the best we have for explaining what we are like to others in space, with least ambiguity. I would vote for Bach, all of Bach, streamed out into space, over and over again. We would be bragging of course, but it is surely excusable to put the best possible face on at the beginning of such an acquaintance. We can tell the harder truths later.

It is when physicians are bogged down by their incomplete technologies, by the innumerable things they are obliged to do in medicine when they lack a clear understanding of disease mechanisms, that the deficiencies of the health-care system are most conspicuous. If I were a policy-maker, interested in saving money for health care over the long haul, I would regard it as an act of high prudence to give high priority to a lot more basic research in biologic science.

The need to make music, and to listen to it, is universally expressed by human beings. I cannot imagine, even in our most primitive times, the emergence of talented painters to make cave paintings without there having been, near at hand, equally creative people making song. It is, like speech, a dominant aspect of human biology.

It is conceivable that we might be able to provide good medical care for everyone needing it, in a new system designed to assure equity, provided we can restrain ourselves, or our computers, from designing a system in which all 200 million of us are assumed to be in constant peril of failed health every day of our lives. In the same sense that our judicial system presumes us to be innocent until proven guilty, a medical care system may work best if it starts with the presumption that most people are healthy. Left to themselves, computers may try to do it in the opposite way, taking it as given that some sort of direct, continual, professional intervention is required all the time, in order to maintain the health of each citizen, and we will end up spending all our money on nothing but this.

The great secret, known to internists and learned early in marriage by internist’s wives, but still hidden from the general public, is that most things get better by themselves. Most things, in fact, are better by morning. Obviously, it is a great time-saver and money-saver for the physician’s family that anxiety about disease is not handled as though it were the disease itself; there is perhaps greater willingness to accept anxiety as a natural, often transient, phenomenon. And certainly there is much less ambition to deploy the full technology of medicine as a corrective for the human condition.

I must mend the ways of my mind. This is a very big place, and I do not know how it works. I am a member of a fragile species, still new to the earth, the youngest creatures of any scale, here only a few moments as evolutionary time is measured, a juvenile species, a child of a species. We are only tentatively set in place, error prone, at risk of fumbling, in real danger at the moment of leaving behind only a thin layer of our fossils, radioactive at that.

It is not a simple life to be a single cell, although I have no right to say so, having been a single cell so long ago myself that I have no memory at all of that stage in my life.