First, the physician at Harvard, lecturing on Hippocrates:
The widest of all generalizations in the work of Hippocrates is this: as a rule, sick people recover without treatment.
—Lawrence J. Henderson (1878-1942), Harvard lectures, quoted in The Practical Cogitator, Charles P. Curtis, Jr. and Ferris Greenslet, editors (p. 287).
Second, Montaigne in his tower:
Let things take their course. Nature’s scheme, that takes care of fleas and moles, also takes care of men—if they will have the same patience to let themselves be governed that fleas and moles have. There is no use in our shouting “Giddap”; that will indeed make us hoarse, but not get us ahead. Nature’s scheme is proud and pitiless. Our fear and despair disgust it and stop it from helping us, instead of inviting it to come to our aid. Nature is obliged to let both disease and health run their course. As for letting itself be corrupted in favour of the one to the prejudice of the other’s right, it will not do so, for it would then fall into disorder. Follow Nature, in God’s name, follow it! It leads those who follow. Those who will not follow, it drags along, with their rage and their medicine too. Order a purge for your brain; it will be better employed there than on your stomach.
—Michel de Montaigne (1533-1592), Essays, Book II, Ch. 37, “Of the Resemblance of Children to Fathers.” Adapted from the translation by Donald Frame.
The recent upsurge of anti-vaccination hysteria, often abetted by the “wellness” movement—for whom conventional medical practice is anathema—has reminded me of Hippocrates’ conclusion that the best treatment, most often, is no treatment at all. This conclusion must have been doubly true in the early days of modern medicine.
What remedies, after all, were on offer in the 18th and 19th centuries in Europe and America? Bloodletting appears to have been the preferred treatment for almost any condition, followed closely by laxatives, emetics, and diuretics aimed at inducing the patient to defecate, vomit, or urinate his way to health. These treatments were based on the dominant medieval theory of medicine, which held that disease resulted from an imbalance of the four “humours” or essential bodily fluids: blood, phlegm, yellow bile, and black bile. Restore the balance, so the theory went, and the patient would recover. It is not difficult to see that this was medical theatre more than medical practice. When patients recovered, the doctor could take credit. When they perished, either from the disease or the treatment, or both, the doctor could sigh and say, “Alas, we did the best we could.”
More serious problems were addressed by an even more dreadful response: surgery. Surgery in the 18th and 19th centuries resembled butchery more than medical treatment. No anaesthesia. No sanitation. Doctors with bloody hands going from one patient to the next, spreading bacteria from patient to patient. This was truly barbaric and horrific.
We cannot be surprised that alternatives to such brutality arose. Samuel Hahnemann, a German physician, gave up his practice after concluding that conventional treatments like bloodletting did more harm than good. In 1796 he conceived an alternative approach that he called “homeopathy.” Its fundamental principle was that “like cures like.” Hahnemann took substances that were known to cause disease and diluted them repeatedly until the resulting solution was no different, chemically, from the inert ingredients that formed most of it—flavoured water, essentially. In the 19th century homeopathy became enormously popular, and one can see why: instead of being bled or purged, the patient need only drink these harmless potions, and—remember Hippocrates—most of them recovered their health!
Other pseudoscientific and supernatural alternatives to conventional medicine flourished in the 19th century: spiritualists, mesmerists, magnetizers, vitalists, phrenologists, iridologists, theosophists, etc., attracted large followings of people disillusioned not only with conventional medicine but with conventional religions. In 1875 Mary Baker Eddy, after a few years spent studying mesmerism with Joseph Quimby, published Science and Health and, in 1892, founded the Church of Christ, Scientist. “It is plain that God does not employ drugs or hygiene, nor provide them for human use; else Jesus would have recommended and employed them in his healing,” she wrote. Christian Science, as it came to be called, was an improvement even on homeopathy: no potions were required, only prayer. As always, successes could be credited to the theory, and failures explained away. Again, Hippocrates’ conclusion resonates: “as a rule, sick people recover without treatment.”
In the 20th century, while conventional medicine continued to make progress, such alternative treatments persisted. I was raised as a Christian Scientist. Unvaccinated, I suffered the most serious illness of my life in my late 30s when I contracted measles. (I escaped polio, smallpox, etc., only because almost everyone around me was vaccinated against them.) While living and working in Europe in the 1990s I saw, in Austria and Germany, pharmacy shelves filled with homeopathic remedies for every imaginable disorder. And in the 1960s, of course, as part of the anti-war, anti-establishment counterculture, Eastern religions, meditation, yoga, etc., were joined by a flood of alternative medicine and spiritual practices. Distrust of government and corporations reinforced distrust of the doctors and hospitals associated with them. The rise of cancers as populations began to live longer and as environmental pollution with various toxic chemicals had its inevitable consequences led to early forms of cancer treatment like chemotherapy that were dreadful for patients and often unsuccessful. Naturally, alternatives promising better results and less suffering were enticing.
This brief account should make the historical context of today’s upsurge of anti-vaccination sentiment during the COVID-19 pandemic crystal clear. Anti-establishment distrust of institutions, fed today by the warp-speed propaganda machine of social media, joins with binary thinking in which things and people must be either good or bad. Big Pharma, we know, is a corporate rip-off racket that overcharges for their products and turns entire populations into opioid addicts. Big Pharma’s COVID-19 vaccines, therefore, are not to be trusted. Binary thinking denies the possibility that Big Pharma might lie to us in one case and tell the truth in another. Choosing simplicity over complexity, as humans so often do, many people fall into the trap of throwing out the baby, as the saying goes, with the bath water.
Modern medicine, though much improved, remains imperfect. Doctors and hospitals and insurance companies in the United States, the epicentre of the anti-vax upsurge, are profit-seekers in a capitalist healthcare system. Institutions of all sorts deserve skeptical scrutiny of their activities.
All of that is true.
It is also true that non-treatment of many illnesses, combined with whatever spiritualist naturopathic dietary hocus-pocus you wish, will probably lead to recovery as well as most over-the-counter potions that simply suppress symptoms.
It is also true, however, that mRNA vaccines are highly effective in preventing COVID infections and mitigating their severity, while crystals, yoga, “natural immunity,” and anti-oxidants are not.
The common cold is not COVID-19. Recognizing the difference between them may make the difference in saving your life and the lives of those around you. If you have not done so already, get vaccinated!
2 thoughts on “On sickness and health: the wisdom of the ages and the COVID-19 anti-vax upsurge”
Clearly, the best thing that I will read all day!