Sunday, October 29, 2006

Paradox: Darwin vs. Hippocrates

A paradox has been tugging at my mind these past months. It's all rather vague and abstract, but I'll try to present it nonetheless. It goes something like this.

Life on this earth has been driven by natural selection. Every organism alive today is only here because it, and it's many ancestors, have made it through nature's brutal selective hand. They are the ones most capable of breeding and surviving in the specific environment that they inhabit. If an organism carries a gene which makes them weak or feeble, they will die. They will not spread that gene. That's the point. That's natural selection. But more so, that species as a whole is better off with the weak individual dying. It keeps harmful genes out of the gene pool.

And such is the world of Darwin.

But we humans are odd. We defy Darwin's world - we defy nature itself. Our technology and medicine allows weakness and disease to survive. Our health industry allows weak and sick individuals to survive, reproduce, and nurture offspring - a possibility nearly impossible to every other species on this planet. We have been able to overcome natural selection. Its heavy hand no longer controls our fate. Our doctors, drugs and scientists do that now.

And I confess, I am one of those who wants to take on nature. I do, after all, want to become a Physician. It would be my sworn duty to heal others. This is my dream.

This is the world of Hippocrates.

What would Darwin and Hippocrates have to say to one another? Are physicians in some way harming humankind? Doctors are bound to do good and no harm - that is their oath. Every human life is precious. Every human life is equal. Every condition will receive the full treatment available. Pharmaceutical companies labour long and hard at designing and producing drugs. They do it for the dollar, but intentions aside, patients receive treatment. However, the unintentional consequence of health care is that bad genes might make it through, they might get passed on.

And herein lies my paradox. In defying natural selection--the very branch upon which the human species stands--are we only making our species weaker? By fighting against the weeding hand of nature, are we only doing more harm in the long run?

I for one know, if I ever make it into medicine, I would do good and no harm.

Besides, I've always had a thing for the Greeks.

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