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Eliot, George, 1819-1880

"Middlemarch"

Also, the high standard held up to the public
mind by the College of which which gave its peculiar sanction
to the expensive and highly rarefied medical instruction obtained
by graduates of Oxford and Cambridge, did not hinder quackery from
having an excellent time of it; for since professional practice
chiefly consisted in giving a great many drugs, the public inferred
that it might be better off with more drugs still, if they could only
be got cheaply, and hence swallowed large cubic measures of physic
prescribed by unscrupulous ignorance which had taken no degrees.
Considering that statistics had not yet embraced a calculation as
to the number of ignorant or canting doctors which absolutely must
exist in the teeth of all changes, it seemed to Lydgate that a change
in the units was the most direct mode of changing the numbers.
He meant to be a unit who would make a certain amount of difference
towards that spreading change which would one day tell appreciably
upon the averages, and in the mean time have the pleasure of making
an advantageous difference to the viscera of his own patients.
But he did not simply aim at a more genuine kind of practice than
was common. He was ambitious of a wider effect: he was fired with
the possibility that he might work out the proof of an anatomical
conception and make a link in the chain of discovery.


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