"You must not ask me to sacrifice the health of a young and strong woman to that of a sickly infant. I will be no party to giving this woman a disease that would embitter the lives of her whole family, and almost certainly render her sterile. Besides, I cannot even do it from a legal standpoint.... If you do not consent to have the child fed by hand, I shall either speak to the nurse or give up the case."
But there is no need for the doctor to interfere. Fortunately for the servant, she discovers the miserable transaction. She learns from the butler the real condition of the child, and announces to the Duponts that she must refuse to stay. "I know your brat isn't going to live. I know it's rotten through and through because its father's got a beastly disease that he caught from some woman of the streets."
At this terrible moment the unsuspecting, light-headed and light-hearted mother, Henriette, arrives. She overhears the horrible news and falls screaming to the floor.
The last act takes place in the hospital—the refuge of the unfortunate victims of poverty, ignorance and false morality. M. Loche, the Deputy, is announced. The doctor is overjoyed because he believes that the representative of the people comes to inform himself of the causes of the widespread misery. But he is mistaken. M. Loche is the father-in-law of George Dupont. He wants to secure the signature of the doctor as evidence in the divorce sought by his daughter.
Doctor. I regret that I am unable to furnish you with such a certificate.... The rule of professional secrecy is absolute. And I may add that even were I free, I should refuse your request. I should regret having helped you to obtain a divorce. It would be in your daughter's own interest that I should refuse. You ask me for a certificate in order to prove to the court that your son-in-law has contracted syphilis? You do not consider that in doing so you will publicly acknowledge that your daughter has been exposed to the infection. Do you suppose that after that your daughter is likely to find a second husband?... Do you think that this poor little thing has not been unlucky enough in her start in life? She has been blighted physically. You wish besides indelibly to stamp her with the legal proof of congenital syphilis.
Loche. Then what am I to do?
Doctor. Forgive.... When the marriage was proposed you doubtless made inquiries concerning your future son-in-law's income; you investigated his securities; you satisfied yourself as to his character. You only omitted one point, but it was the most important of all: you made no inquiries concerning his health.
Loche. No, I did not do that. It is not the custom.... I think a law should be passed.
Doctor. No, no! We want no new laws. There are too many already. All that is needed is for people to understand the nature of this disease rather better. It would soon become the custom for a man who proposed for a girl's hand to add to the other things for which he is asked a medical statement of bodily fitness, which would make it certain that he did not bring this plague into the family with him.... Well, there is one last argument which, since I must, I will put to you. Are you yourself without sin, that you are so relentless to others?
Loche. I have never had any shameful disease, sir.
Doctor. I was not asking you that. I was asking you if you had never exposed yourself to catching one. Ah, you see! Then it is not virtue that has saved you; it is luck. Few things exasperate me more than that term "shameful disease," which you used just now. This disease is like all other diseases: it is one of our afflictions. There is no shame in being wretched—even if one deserves to be so. Come, come, let us have a little plain speaking! I should like to know how many of these rigid moralists, who are so shocked with their middle-class prudery, that they dare not mention the name syphilis, or when they bring themselves to speak of it do so with expressions of every sort of disgust, and treat its victims as criminals, have never run the risk of contracting it themselves? It is those alone who have the right to talk. How many do you think there are? Four out of a thousand? Well, leave those four aside: between all the rest and those who catch the disease there is no difference but chance, and by heavens, those who escape won't get much sympathy from me: the others at least have paid their fine of suffering and remorse, while they have gone scot free! Let's have done, if you please, once for all with this sort of hypocrisy.
The doctor, who is not only a sincere scientist but also a humanitarian, realizes that as things are to-day no one is exempt from the possibility of contracting an infection; that those who are responsible for the spread of the disease are they who constantly excuse themselves with the inane "I did not know," as if ignorance were not the crime of all crimes. The doctor demonstrates to M. Loche a number of cases under his observation, all of them the result of ignorance and of poverty.
There is, for instance, the woman whose husband died of the disease. He "didn't know"; so he infected her. She, on the other hand, is poor and cannot afford the treatment she needs. A private physician is beyond her means, and she has too much pride to stand the indignities heaped upon the poor who are at the mercy of dispensaries and charity. Therefore she neglects her disease and perhaps is unconsciously instrumental in infecting others.
Then there is the man whose young son has contracted the disease. His father "didn't know," and therefore he did not inform his son, as a result of which the boy became half paralyzed.