“Medical knowledge and technical savvy are biodegradable. The sort of medicine that was practiced in Boston or New York or Atlanta fifty years ago would be as strange to a medical student or intern today as the ceremonial dance of a !Kung San tribe would seem to a rock festival audience in Hackensack.”
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The future is too interesting and dangerous to be entrusted to any predictable, reliable agency. We need all the fallibility we can get. Most of all, we need to preserve the absolute unpredictability and total improbability of our connected minds. That way we can keep open all the options, as we have in the past.
The central task of science is to arrive, stage by stage, at a clearer comprehension of nature, but this does not at all mean, as it is sometimes claimed to mean, a search for mastery over nature.
The dilemma of modern medicine, and the underlying central flaw in medical education and, most of all, in the training of interns, is the irresistible drive to do something, anything. It is expected by patients and too often agreed to by their doctors, in the face of ignorance.
Very few recognize science as the high adventure it really is, the wildest of all explorations ever taken by human beings, the chance to glimpse things never seen before, the shrewdest maneuver for discovering how the world works.