Conspicuous in the literature of this propaganda is the appeal to standard modern practice in regard to machinery. “Those to whom the care of delicate mechanical apparatus is entrusted,” says the New York Commissioner of Health, “do not wait until a breakdown occurs, but inspect and examine the apparatus minutely, at regular intervals, and thus detect the first signs of damage.” “This principle of periodic inspection,” says the prospectus of the Life Extension Institute, “has for many years been applied to almost every kind of machinery, except the most marvelous and complex of all,—the human body.” To find fault with the drawing of this comparison, with the utilization of this analogy, would be foolish. That many persons would be greatly benefited by submitting to these inspections is certain; it is not impossible that they are desirable for most persons. And the analogy of the inspection of machinery serves excellently the purpose of suggesting such desirability. What is objectionable about its use by the Life Extension propagandists is their evident complacent satisfaction with the analogy as complete and conclusive. Yet nothing is more certain than that, even from the strictly medical standpoint, it ignores an essential distinction between the case of the man and the case of the machine. The machine is affected only by the measures that may be taken in consequence of the knowledge arising from the inspection; the man is affected by that knowledge itself. Whether the possible physical harm that may come to a man from having his mind disturbed by solicitude about his health is important or unimportant in comparison with the good that is likely to be done him by the following of the precautions or remedies prescribed, is a question of fact to which the answer varies in every individual case. It may be that in the great majority of cases the harm is insignificant in comparison with the good. However that may [pg 71]be, the question is there, and it is of itself fatal to the conclusiveness of the argumentum ex machina. That this is not a captious criticism, that it is based on substantial facts of life, ordinary experience sufficiently attests; but it may not be amiss to point to a conspicuous contemporary phenomenon which throws an interesting light on the matter. The Christian Scientists regard the ignoring of disease as the primary requisite for health and longevity. That the Christian Science doctrine is a sheer absurdity, no one can hold more emphatically than the present writer; but it cannot be denied that in thousands of cases its acceptance has been of physical benefit through its subjective effect upon the believer. Personally, I would not purchase any benefit to my physical life at such sacrifice of my intellectual integrity; I mention the point only by way of accentuating the undisputed fact that the presence or absence of concern about health may have a potent influence on one’s bodily welfare.
Although it is a still further digression from the main purpose of this paper, I must permit myself a few words on another point relating to the strictly medical claims of the plan of “universal periodic medical examination.” It is natural that its advocates say nothing about the danger of errors in diagnosis; everybody knows that this danger exists, but sensible men do not allow it to deter them from consulting a physician; in this, as in other affairs of life, they do not cry for the moon, but do the best they can. But it seems to be wholly overlooked by the advocates of the propaganda of “universal periodic examination” that the extent of this danger under present conditions affords no indication at all of what it would be under the system they contemplate. Its cardinal virtue, they constantly proclaim, would be the detection of the very slightest indication of impairment: “The task before us is to discover the first sign of departure from the normal physiological path, and promptly and effectually to apply the brake.” The consequence must necessarily be that for [pg 72]one case of false alarm that occurs today there will be a score, or a hundred, under the new régime. For, in the first place, the individuals seeking advice will not be, as they now are in the main, selected cases in which there is some antecedent presumption that there is something wrong; and secondly, the examiner, bent upon the one great object of overlooking nothing, however slight, will give warnings which, whether technically justifiable or not, will in great numbers of cases have a wholly unjustifiable significance to the mind of the subject. Who shall say how many persons will thus be made to carry through life a burden of solicitude about their health from which, if left to their own devices, they would have been wholly free?
But it is not my design to find fault with this scheme as a matter of medical benefit; if I have ventured to point out some drawbacks, it is only by way of showing that, even from the strictly medical standpoint the cult of uniformity, of standardization, of mechanical perfection, is not free from fault. But the great objection against that attitude of mind which is typified in the appeal to the analogy of machinery is far more vital. Our only interest in a machine is that we shall get out of it as much, and as exact, work as possible. Our interest in our bodies is not so limited. We may deliberately choose to forego the maximum of mechanical perfection for the sake of living our lives in a way more satisfactory to us than a constant care for that perfection would permit. Even the most ardent of health enthusiasts—unless he be an insane fanatic—draws the line somewhere. What he forgets is that other people prefer to draw the line somewhere else. They choose to run a certain amount of risk rather than have their health on their minds. To compel—whether by legal means or by social pressure—every man to take precautions concerning his own body which he deliberately prefers not to take; to make impossible, in this most intimate and personal of all human [pg 73]concerns, the various ways of acting which the infinite varieties of temperament and desire may dictate—this would be such an invasion of personal liberty, such a suppression of individuality, as would strike us all as appalling, had we not grown so habituated to the mechanical, the statistical, measurement of human values—to the Flatland view of life.
What gives to these movements that I have been discussing the character which I have been ascribing to them is not so much the specific things which they severally aim to accomplish, but the spirit in which they are carried on, and perhaps still more the spirit, or want of spirit, with which they are met. It is not that a balance is falsely struck between the benefit of the concrete, circumscribed, measurable improvement aimed at and the injury done to some deeper, more pervading, and quite immeasurable element or principle of life; it is that the balance is not struck at all. The subtler, the less tangible, element is simply ignored. It was not always so. It was not so in the last generation, or the generation before that. The phenomenon is one that is closely bound up with the ruling tendency of thought and action in all directions; it is not an accident of this or that particular agitation. Perhaps in no direction is it more convincingly manifested than in the prevailing tone of opinion, or at least of publicly expressed opinion, in regard to the objects and ideals of universities. That in the present state of the world’s economic and social development on the one hand, and of the various sciences on the other, “service”—that is, service directly conducive to the general good—should be regarded as one of the great objects of universities, is altogether right; that it should be spoken of as their only object, which is the ruling fashion, is most deplorable. The object of a university, said Mill, is to keep philosophy alive; yet it would go hard with the present generation to point to any one more truly and [pg 74]profoundly devoted to the service, the uplifting, of the masses of mankind than was John Stuart Mill. Were he living he would recognize, as thoroughly as the best efficiency man of them all, that the universities of today have opportunities and duties which were undreamed of half a century ago. But he would know, too, that in those activities which are directed to the promotion of practical efficiency, the university is but one of many agencies, and that if it were not doing the work some other means would be found for supplying the demand. Its paramount value he would find now, as he did then, in the service it renders not to the ordinary needs of the community but to the higher intellectual interests and strivings of mankind. That so few of us have the courage clearly to assert a position even distantly approaching this—such a position as was mere matter of course among university men in the last generation—is perhaps the most significant of all the indications of our drift toward Flatland.