My brief stay at the hospital had already convinced me that the medical profession was an open door to anyone nursing a grudge against the human race.

The medical profession is unconsciously irritated by lay knowledge.

Nearly every doctor I worked with dreamed as a child about curing disease and worked like crazy to become a doctor. They studied tirelessly to learn science, entered medical school with idealistic visions, and became the pride of their family. They entered residency with hundreds of thousands of dollars of student loan debt and initially saw the chronic sleep deprivation and verbal abuse by their superiors as integral parts of the experience — because “great achievement is born of great sacrifice.” But almost universally among doctors I have met, this idealism eventually turns to cynicism. My colleagues in residency talked often about questioning their sanity, of wondering whether this was all worth it. I spoke with successful surgeons who’d drafted their resignation letters dozens of times. Another had a recurring daydream of leaving everything behind and becoming a baker. Many of my supervising physicians were desperate to spend more time with their children. I witnessed more than one tearful breakdown in the operating room when surgical cases were delayed and led to yet another missed bedtime for their kids. Several had dealt with suicidal depression. I understood why doctors had the highest burnout and suicide rate of any profession. Inevitably, these conversations led to an insight that I believe is whispered by doctors in every hospital in America: they feel trapped inside a broken system.

He regarded himself as inhabiting a jungle in which behind masks of civilised behavior and conventional politeness everybody, doctor or not, was out for what he could get. No means of enhancing his reputation, status and income escaped him.

I have often thought that one of the less attractive traits of various professional bodies and institutions is the deeply ingrained suspicion and outright hostility which can exist towards anything unorthodox or unconventional.

It is almost impossible to be a doctor and an honest man, but it is obscenely impossible to be a psychiatrist without at the same time bearing the stamp of the most incontestable madness: that of being unable to resist that old atavistic reflex of the mass of humanity, which makes any man of science who is absorbed by this mass a kind of natural and inborn enemy of all genius.

"What kind of a doctor will you be?"
"An able one, I hope."
"I hope that you become a doctor who will engage with the problems of the world."
For an 18-year-old medical student, this aspiration was as professorial as it was intangible. Why worry about global health when the muscles of the back and leg needed memorising? And how did reproductive rights matter when the exam involved peering down a microscope to identify bacteria?

“It would be some young firebrands with more energy than sense, and they would do it because they would regard the religion in question as a kind of disease.”
“Catching, is it?”
“Seemingly so. Or, perhaps I should say, suspected to be so.”
“That could be ugly. People turn fanatic, do they? Rant and rave against the unholy? Claim to have the only source of truth? Execute people for heresy? Burn people at the stake? Shovel them wholesale into ovens?” Rasiel was a student of human history, including its more barbaric periods.

I am afraid that there is a certain class of race-problem solvers who don’t want the patient to get well, because as long as the disease holds out they have not only an easy means of making a living, but also an easy medium through which to make themselves prominent before the public.

People with a grudge against the world are always dangerous. They seem to think life owes them something. I've known many an invalid who has suffered worse and been cut off from life much more . . . and they've managed to lead happy contented lives. It's what's in yourself that makes you happy or unhappy.

I smiled, remembering Art's line about doctors being illpolitical. He meant it the way you used words like illiterate. Art always said doctors not only held no political views, but also were incapable of them. "It's like the military," he had once said. "Political views are considered unprofessional."

I observe the physician, with the same diligence, as he the disease; I see he fears, and I fear with him...

"It's just the same story as a doctor once told me," observed the elder. "He was a man getting on in years, and undoubtedly clever. He spoke as frankly as you, though in jest, in bitter jest. 'I love humanity,' he said, 'but I wonder at myself. The more I love humanity in general, the less I love man in particular. In my dreams,' he said, 'I have often come to making enthusiastic schemes for the service of humanity, and perhaps I might actually have faced crucifixion if it had been suddenly necessary; and yet I am incapable of living in the same room with any one for two days together, as I know by experience. As soon as any one is near me, his personality disturbs my self-complacency and restricts my freedom. In twenty-four hours I begin to hate the best of men: one because he's too long over his dinner; another because he has a cold and keeps on blowing his nose. I become hostile to people the moment they come close to me. But it has always happened that the more I detest men individually the more ardent becomes my love for humanity."

This was a good beginning. All the outmoded rules of the hospital were broken. Minds which had been tied down by subservience to foreign experience were now set in motion. People began to speak, to think and to act boldly. A new world opened in front of them. They knew that what they were doing now was something unprecedented which doctors in capitalist countries had not been able to do. They were engaged in a battle to save lives and as the scope of the battle became wider an increasing number of people were drawn in. Later on when a difficulty occurred in the course of treatment they solicited the opinions of many doctors both within and without the hospital, depending on the wisdom of the many to tide over one crisis after another.