from The Textbook Letter, November-December 1992
Why Is Merrill Peddling This Fake "History"?
William J. Bennetta
Science textbooks are rather notorious for purveying fake
"history," much of which seems to consist of fictitious stories
that got into schoolbooks many years ago. Textbook-company hacks
have been copying and recopying them ever since, into one crop of
books after another.
In this article, I examine a case that appears much harder to
explain. It involves Merrill Life Science, a new middle-school
book, dated in 1993, that is marketed by the Glencoe Division of
Macmillan/McGraw-Hill School Publishing Company.
Under a pretext of relating science to "literature," the writers
of Merrill Life Science give a whole page to a false account,
complete with a fake text, of the Hippocratic Oath. There is no
way to know why they imagine that the Oath is relevant to life
science, for they give no explanation.
This case merits attention, I believe, for several reasons.
First, the fake history seems to be newly invented, for I have
not seen anything like it in any earlier life-science book.
Second, it seems particularly pernicious (as I shall explain
later). And third, it is presented in a way that is remarkable
as an exercise in sustained falsity.
Here are the salient facts of the case, starting with some
history that is genuine:
The Hippocratic Oath is an ancient pledge that embodies a code of
conduct for physicians. Though the Oath is named for Hippocrates
(the leader of a Greek school of medicine that flourished some
2,400 years ago), its actual authorship and origins are obscure.
The Oath's text, however, is well known and readily available;
there are several English translations, all closely similar to
each other, that appear in many medical books and reference
books. Let me quote a version given in Collier's Encyclopedia.
The phrase "cut a person who is suffering with a stone" refers to
the surgical removal of bladder stones:
I swear by Apollo the physician, by Aesculapius, by Hygeia,
Panacea, and all the gods and goddesses, that, according to my
best ability and judgment, I will keep this oath and stipulation;
to reckon him who taught me this art equally dear to me as my
parents; to share my substance with him and relieve his
necessities if required; to regard his offspring as on the same
footing as my own brothers, and to teach them this art if they
shall wish to learn it, without fee or stipulation, and that by
precept, oral teaching and every other mode of instruction, I
will impart a knowledge of the art to my own sons and to those of
my teachers, and to disciples bound by a stipulation and oath,
according to the law of medicine, but to no others.
I will follow that method of treatment which, according to my
ability and judgment, I consider for the benefit of my patients,
and abstain from whatever is deleterious and mischievous. I will
give no deadly medicine to anyone if asked, nor suggest any such
counsel; furthermore, I will not give to a woman an instrument to
produce abortion.
With purity and with holiness I will pass my life and practice my
art. I will not cut a person who is suffering with a stone, but
will leave this to be done by practitioners of this work. Into
whatever houses I enter, I will go into them for the benefit of
the sick and will abstain from every voluntary act of mischief
and corruption, and, further, from the seduction of females or
males, bond or free.
Whatever in connection with my professional practice, or not in
connection with it, I may see or hear in the lives of men which
ought not to be spoken abroad, I will not divulge, as reckoning
that all such should be kept secret.
While I continue to keep this oath inviolate, may it be granted
to me to enjoy life and the practice of my art, respected always
by all men, but should I trespass and violate this oath, may the
reverse be my lot.
Now turn to page 601 of Merrill Life Science. We see the label
"Science and Literature," then a headline saying "The Hippocratic
Oath," then the Merrill writers' statement that "Doctors
traditionally take the Hippocratic Oath when graduating from
medical school." That statement is wrong. The Hippocratic Oath
has historical significance, but (contrary to popular belief) it
rarely is used, anymore, in medical-school ceremonies.
The Merrill writers continue:
The Hippocratic Oath is so named for Hippocrates, a Greek
physician who lived about 400 B.C. Notice how carefully it
spells out the obligation of a doctor to guard the dignity and
health of their [ sic] patients no matter what their [sic] race,
creed or color.
Even if we had never seen the Hippocratic Oath, we would know, at
this point, that fakery is afoot. Though the Merrill writers
have flubbed their pronouns, the import of their statement is
clear. It is also ludicrous. The notion that the ancient Greeks
shared our modern, bureaucratic preoccupation with matters of
"race, creed or color" will surely evoke laughter from any
educated adult. But young students in a middle-school
life-science class may fail to recognize that the Merrill writers are
undertaking to trick them.
The writers now present their fake oath:
I solemnly pledge myself to consecrate my life to the service of
humanity;
I will give my teachers the respect and gratitude which is their
due;
I will practice my profession with conscience and with dignity;
The health of my patient will be my first consideration;
I will respect the secrets which are confided in me;
I will maintain by all the means in my power, the honor and the
noble traditions of the medical profession;
My colleagues will be my brothers;
I will not let considerations of religion, nationality or race,
party politics or social standing to intervene between my duty
and my patient;
I will maintain the utmost respect for human life from the time
of conception; even under threat I will not use my medical
knowledge contrary to the laws of humanity;
I make these promises solemnly, freely, and upon my honor.
Somehow, "race, creed or color" has turned into "religion,
nationality or race, party politics or social standing," but the
writers do not explain the discrepancy.
To bolster the impression that the fake oath is ancient,
Merrill's page has a picture, done in an archaic style, that
shows a robed and bearded sage who is writing with a quill. He
is not identified (and he looks, to me, more medieval than
classical), but students can hardly miss the implication that
this is old Hippocrates himself.
Where did the fake oath come from? Did Merrill's writers make it
up? No, they did not. As the writers surely know, what they
have misrepresented as the Hippocratic Oath is, in fact, the
Declaration of Geneva, a code that was endorsed by the General
Assembly of the World Medical Association in 1948. That's 1948
AD, not BC. The Declaration projects some faint echoes of the
Hippocratic Oath and, indeed, can be regarded as one of the
Oath's highly modified, much diminished descendants (of which
there are several). To mistake the Declaration for its renowned
ancestor, however, is manifestly impossible, because the
Declaration is so starkly modern while the Oath so obviously
comes from another age.
The Merrill writers' fakery is as puzzling as it is outlandish.
Though the Declaration of Geneva has nothing to do with life
science, the writers obviously wanted to put it into their book.
But why didn't they simply print it and identify it correctly?
Why have they gone to such lengths, including the use of a
deceptive picture, to make the student think that the
Declaration is something else, and that it dates from antiquity?
I don't know.
Whatever the writers' reasons may be, their stunt is one of the
ugliest bits of trickery that I've yet seen in a schoolbook.
They undermine the student's ability to understand vital aspects
of cultural history, and they do this in two ways: They falsely
and pointedly attribute modern values and formulas to ancient
people, and they hide the values, beliefs and customs that those
ancients actually embraced. Look again at the real Oath, and see
how (in sharp contrast to the Declaration) it begins and ends by
invoking the supernatural. See how it depicts the physician as a
member of a fraternity, obligated to teach his skills to other
members' sons and to ask no fee for doing so. As for ideas of
social equality: Notice that the Oath says nothing at all about
race, creed or color, though it does say that a physician should
accord a sort of equality to the two sexes by refraining from
the seduction of either. So too with slaves and freemen.
Clearly, the oath originated in a society much different from our
own.
One more thing must be noted here. If a student accepted
Merrill's story about medical-school ceremonies, the student
would think that graduating physicians swear to "maintain the
utmost respect for human life from the time of conception" -- a
phrase that could be taken as an injunction against abortion. In
fact, the oaths used by medical schools in the United States,
nowadays, typically do not refer to abortion at all, even
obliquely. When schools use the Declaration of Geneva, the
phrase about "the time of conception" is usually omitted. There
has been a considerable change in medical attitudes toward
abortion during the decades since the Declaration was written --
not to mention the change that has occurred since somebody, long
ago, wrote the real Hippocratic Oath and explicitly required that
a physician "not give to a woman an instrument to produce
abortion."
History is interesting and important, and students need to learn
about it. Fake "history," however, is poisonous.
William J. Bennetta is a professional editor, a fellow of the
California Academy of Sciences, the president of The Textbook
League, and the editor of The Textbook Letter. He writes
frequently about the propagation of quackery, false "science" and
false "history" in schoolbooks.
Earl Hautala, the Textbook League's manager of research, assisted
in the preparation of this article.
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