if not also the fuller and better

observation,

which

knowledge confer.

Wheu

prolonged study is

authority

and research

things, always

We live in

so.

gress ; and

a

world and

in matters of

necessarily

these

supported by

its influence is irresistible.

But it is not of proage is not

period

science,

guarantee of superior attainments,

a

perhaps the

reverse. While, therefore, the superior wisdom and breadth of view may be conceded as generally characteristic of administra-

tive OFFICIAL SCIENCE. It is and of

interesting

an

one

and

which bears

strongly upon the subject article, how far executive

the

preceding ought to be guided in their purely professional duties by the opinions of their administrative superiors. It is also an medical officers

extremely difficult one. There is, on the one hand, the obligation to obey lawfully constituted authority, and, on the other, the right of private judgment and the correlative of personal res-

ponsibility? personal independence. This latter recognises another and different obligation?to the conscience of the individual?which may or may not harmonise with the other obligation. of duty

supplies the motive power to the fulfilment of both these obligations. When The

sense

they

coincide and tend in the

the rule of conduct is clear and

same

direction,

binding

;

when

in different direc-

to

they point point tions, perplexity arises, and it often becomes a matter of extreme nicety to decide which is the right course to follow?obedience to order, or or seem

obedience are

to

spurious

conscientious conviction. motives which

are

and obscure the judgment. On the

apt

There to arise

the

hand, please, or obtain the approbation of a superior, though generally laudable, may be carried to the length of encouraging crotchets and smothering personal beliefs. On the other hand,

desire

one

to

self-love

or

of needless

self-conceit may prompt the

insubordination

and

is

ledge

important question,

display

unnecessary

of

the

position,

by

essential.

no

means

Common

quality administration, and scientific eminnot always co-exist with administra-

ence

does

tive

ability.

From

these considerations it fol-

lows that much must

depend

the nature

on

of

the circumstances.

In matters of pure scientific opinion, every man is justified in holding that view which his education, experience,

research,

or thought may commend to the truest and best. He is bound

reading,

his mind

as

to treat the views of

those in

others,

more

especially

of

him, with respect, if not authority deference; but he is perfectly at liberty to form over

and state his fied in sure

and

opinions,

own

no

one

is

justi-

any pressure other than the presof reasoning and demonstration upon him

with

putting

view to induce him to alter them.

a

On

the contrary, he ought to be encouraged to justify and prove them. But opinions may lead

important practical issues, and it is here that The treatment of the the real difficulty arises. and the sick, naming registering of diseases, the suggestion and control of sanitary measures?

to

these

are

matters

the welfare of indivi-

affecting

duals and communities which

be

opinions. permitted freedom

extent may the or

tration

were

a

trative

as

to

thing

restrain,

to

what

authority

to correct?

scientific administime authoritative

as a

from time to

to this and that matter of scientific

to

rulings ?

upon the executive to

administrative impose

such

issuing

are

in sucli matters, and

intervene to direct,

If there

depend closely

How far

scientific

of view which arises from

extended field of

is the best

sense

belief?indicating what ful, what proved, and

an

superior knowuniversally so ; nor is it

for successful

private opinion. Theoretically, position implies, along with averor more than average ability, the wisdom age which results from experience, and the breadth flaunting

administrative

of

possession

was

certain,

what

control would

the deliverances of

what doubt-

disputed?administo adapt itself

have

such

a

tribunal;

but

TIJE INDIAN MEDICAL GAZETTE.

82

[March,

1886.

ia better than a strained and artificial, and perauthority in matters of science 1ms neither fixed As regards the general abode, nor definite organ. General consent or haps untrue, uniformity. and tolerance, mutual forbearance acceptation is, as a rule, the strongest warrant question, of truth, and difference of opinion the best and an earnest and united effort to arrive at These must consti- the truth are the best means of avoiding any evidence of uncertainty. of administrative authority with exetute the criteria of fixed or unfixed scientific clashing cutive independence. doctrines or facts, and the circumstance that a certain doctrine is

exceptional or peculiar or authority, and renders disputable deprives it of

it unwise that it should be endorsed

by

trative

flaunted

the

hand, authority eccentricity on the other. constitutes the leading principle in on

or

one

executive

under notice.

This

and the action consequent exceptional or disputable demands

judgment;

authority

on,

an

issue of

a

be

doubtful

To revert to the

character.

fever in IivJia.

This, is

as we

certain

a

it

on

are

knowledge obviously

impose authoritatively,

to

wrong

would

it

but

by really

the matter

To determine whether

opinion

and

adminis-

or or

subject

oppose

disputed

of enteric

have shown in the of doubt

as subject preceding article, regards diagnosis, pathology, and causation, and does not admit of dogmatism or authoritative interference It happened once in one direction or another. a

that a strong minded Surgeon-General held that the so-called enteric fever of India was simply a

form

fever,

phase

or

of

consequently,

climatic fever. almost

Enteric

disappeared

time from the Madras returns.

The

for

a

Sanitary

Commissioner's report shows that two SurgeonsGeneral entertain different views regarding the C5 O nature and cause of the

fever;

but it does not

appear how far these have influenced the action of the executive in preparing returns. The

Sanitary Commissioner's report displays an admirable neutrality in discussing the question

worthy of imitation. This is a case in which diagnosis must be left to the executive, informing themselves as best they can, and striving

which is

conscientiously

to

arrive at the truth.

Adminis-

trative officers may advise or assist, and their long experience and opportunities of wider may in many cases fit them to effect, but the exercise of authority

observation do

so

is in The

with a

case

of this sort out of the

question.

may be unequal and uncertain, because opinions and practice fluctuate, but that returns

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