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Authors: James Blish

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But if during the trip there or back some fellow passenger had come down with a simple appendicitis, Nay-smith wouldn't have touched him. He would have said, with remote impartiality, that that was the job of the ship's surgeon (me). If for some reason I had been too late to help, Naysmith still would not have lifted a finger.

There are not supposed to be any doctors like that, but there are. Nobody should assume that I think they are in the majority—they are in fact very rare—but I see no point in pretending that they don't exist. They do; and the eminent Naysmith was one of them. He was in fact almost the Platonic ideal of such a doctor. And you do not have to be in the Heart stars to begin to think of the Hippocratic Oath as being quaint, ancient, and remote. You can become isolated from it just as easily on Earth, by the interposition of unclimbable mountains of money, if you share Naysmith's temperament.

His temperament, to put it very simply, was that of a pathologically depressed man carrying a terrible load of anxiety. In him, it showed up by making him a hypochondriac, and I don't think he would ever have gone into
medicine at all had it not been for an urgent concern about his own health which set in while he was still in college. I had known him slightly then, and was repelled by him. He was always thinking about his own innards. Nothing pleased him, nothing took him out of himself, he had no eye for any of the elegance and the beauty of the universe outside his own skin. Though he was as brilliant a man as I ever knew, he was a bore, the kind of bore who replies to "How are you?" by telling you how he is, in clinical detail. He was forever certain that his liver or his stomach or some other major organ had just quit on him and was going to have to be removed—probably too suddenly for help to be summoned in time.

It seems inarguable to me, though I am not a psychologist, that he took up medicine primarily in the hope (unrecognized in his own mind) of being able to assess his own troubles better, and treat them himself when he couldn't get another doctor to take them as seriously as he did. Of course this did not work. It is an old proverb in medicine that the man who treats himself has a fool for a physician, which is only a crude way of saying that the doctor-patient relationship absolutely requires that there be two people involved. A man can no more be his own doctor than he can be his own wife, no matter how much he knows about marriage or medicine.

The result was that even after becoming the kind of surgeon who gets called across 50,000 light-years to operate on the sibling of the Bbiben of Bbenaf, he was still a hypochondriac. In fact, he was worse off than ever, because he now had the most elaborate and sophisticated knowledge of all the obscure things that might be wrong with him. He had a lifelong case of interne's syndrome, the cast of mind which makes beginners in medicine sure that they are suffering from everything they have just read about in the textbook. He knew this; he was, as I have said, a brilliant man; though he had reached his ostensible goal, he was now in a position where he did not
dare
to treat himself, even for the hiccups.

And this was why he called me at midnight, ship's time, to look him over. There was nothing curable the matter with him. He had eaten something on Bbenaf—though he was a big, burly, bearded man, immoderate eating had made him unpleasantly soft—that was having trouble accommodating itself to his Terrestrial protein complement. I judged that tomorrow he would have a slight rash, and thereafter the episode would be over. I told him so.

"Um. Yes. Daresay you're right. Still rather a shock though, to be brought bolt upright like that in the middle of the night."

"Of course. However I'm sure it's nothing more than a slight food allergy—the commonest of all tourist complaints," I added, a little maliciously. "The tablets are antihistaminic, of course. They ought to head off any serious sequelae, and make you a little sleepy to boot. You could use the relaxation, I think."

He nodded absently, without taking any apparent notice of my mean little dig. He did not recognize me, I was quite sure. It had been a long time since college.

"Where are we?" he said. He was wide awake, though his alarm reaction seemed to be wearing off, and he didn't seem to want to take my hint that he use the pills as sleepy drugs; he wanted company, at least for a little while. Well, I was curious, too. He was an eminent man in my own profession, and I had an advantage over him: I knew more about him than he thought I did. If he wanted to talk, I was delighted to let him.

"Chandala, I believe. A real running sore of a planet, but we won't be here long; it's just a message stop."
"Oh? What's the matter with the place? Barbaric?"

"No, not in the usual sense. It's classified as a civilized planet. It's just sick, that's all. Most of the population is being killed off."

"A pandemic?" Naysmith said slowly. "That doesn't sound like a civilized planet."

"It's hard to explain," I said. "It's not just one plague. There are scores of them going. I suppose the simple way to put it is to say that the culture of Chandala doesn't believe in sanitation—but that's not really true either. They believe in it, thoroughly, but they don't practice it very much. In fact a large part of the time they practice it in reverse."

"In reverse? That doesn't make any sense."

"I warned you it was hard to explain. I mean that public health there is a privilege. The ruling classes make it unavailable to the people they govern, as a means of keeping them in line."

"But that's insane!" Naysmith exclaimed.

"I suppose it is, by our ideas. It's obviously very hard to keep under control, anyhow; the rulers often suffer as much as the ruled. But all governments are based on the monopoly of the right to use violence—only the weapons vary from planet to planet. This one is Chandala's. And the Heart stars have decided not to interfere."

He fell silent. I probably had not needed to remind him that what the federation we call the Heart stars decided to do, or not to do, was often very difficult to riddle. Its records reach back about a million years, which however cover only its period of stability. Probably it is as much as twice that old. No Ann II planet belonged to the group yet. Earth could be expected to be allowed to join in about forty-five thousand years—and that was what remained of half our originally allotted trial period; the cut
was awarded us after our treaty with the star-dwelling race of Angels. In the meantime, we could expect no help . . . nor could Chandala. Earth was fortunate to be allowed any intercourse whatsoever with the Heart stars; there again, we could thank the Angels—who live forever —for vouching for us.

"Dr. Rosenbaum," Naysmith said slowly, "do you think that's right and proper?"

So he had recognized me after all. He would never have bothered to look up my name on the roster.

"Well, no, I suppose not. But the rule is that every planet is to be allowed to go to hell in its own handbasket. It isn't my rule, or the Earth's rule; but there it is. The Heart stars just won't be bothered with any world that can't achieve stability by itself. They have seen too many of them come and go."

"I think there's more to it than that. Some of the planets that failed to get into the federation failed because they got into planetwide wars—or into wars with each other."

"Sure," I said, puzzled. "That's just the kind of thing the Heart stars have no use for."

"So they didn't interfere to stop the wars."

"No." Now I was beginning to see what he was driving at, but he bore down on me relentlessly all the same.

"So there is in fact no Heart-star rule that we can't help Chandala if we want to. In fact, doing so may not even prejudice our case with the federation. We just don't know."

"I suppose that's true, but—"

"And, in fact, it might help us? We don't know that either?"

"No, we don't," I admitted, but my patience was beginning to run out. It had been a long night. "All we do know is that the Heart stars follow certain rules of their own. Common sense suggests that our chances would be best if we followed them, too."

"Common sense for our remotely imaginable great-great-greatest of grandchildren, maybe. But by then conditions will have changed beyond our remotest imaginings. Half a millennium!"

"They don't change in the Heart stars. That's the whole point—stability. And above all, I'd avoid picking up a stick of TDX like Chandala. It's obviously just the kind of nonsurvival planet the Heart stars
mean
to exclude by their rules. There'd be nothing you could do with it but blow yourself up. And there's obviously nothing we could do
for
it, anyhow!"

"Gently now, Doctor. Are you sure of that? Sanitation isn't the only public-health technique there is."

"I don't follow you," I said. The fact is that by now I wasn't trying very hard.

"Well," Naysmith said, "consider that there was once a thing called the Roman Empire. It owned all the known world and lasted many centuries. But fifty men with modern weapons could have conquered it, even when it was at its most powerful."

"But the Heart stars—"

"I am not talking about the Heart stars. I'm talking about Chandala. Two physicians with modern field kits could have wiped out almost all the diseases that raddled the Roman Empire. For instance, you and I."

I swallowed and looked at my watch. We were still a good two hours away from takeoff time.

"No, Doctor, you'll have to answer me. Shall we try it?"

I could still stall, though I was not hopeful that it would help me much. "I don't understand your motives, Dr. Naysmith. What do you want to try it
for?
The Chandalese are satisfied with their system. They won't
thank you for trying to upset it. And where's the profit? I can't see any."

"What kind of profit are you talking about?" Naysmith said, almost abstractedly.

"Well . . . I don't know; that's what I'm asking you. It seems to me you shouldn't lack for money by now. And as for honor, you're up to your eyebrows in that already, and after Bbenaf you'll have much more. And yet you seem to be proposing to throw all that away for a moribund world you never heard of until tonight. And your life, too. They would kill you instantly down there if they knew what you had in mind."

"I don't plan to tell the ruling class, whatever that is, what I have in mind," Naysmith said. "I have that much sense. As for my motives . . . they're properly my own. But I can satisfy your curiosity a little. I know what you see when you look at me: a society doctor. It's not an unusual opinion. My record supports it. Isn't that true?"

I didn't nod, but my silence must have given my assent.

"Yes, it's true, of course. And if I had excuses, I wouldn't give a damn for your opinion—or for Chandala. But you see, I don't. I not only know what the opinion of me is, but
I share it myself.
Now I see a chance to change that opinion of me; not yours, but mine. Does that help you any?"

It did. Every man has his own Holy Grail. Naysmith had just identified his.

"I wish you luck."

"But you won't go along?"

"No," I said, miserable, yet defiantly sure that there were
no
good reasons why I should join Naysmith's quest —not even the reason that it could not succeed without me and my field kit. It could not succeed
with
me, either; and my duty lay with the ship, until the day when I
might sight my own Grail, whatever that might be. All the same, that one word made me feel like an assassin.

But it did not surprise Naysmith. He had had the good sense to expect nothing else. Whatever the practical notions that had sprung into his head in the last hour or so, and I suppose they were many, he must have known all his life—as we all do—that Grail-hunting is essentially the loneliest of hobbies.

He made himself wholly unpopular on the bridge, which up to now had barely known he was aboard, wangling a ship's gig and a twenty-four-hour delay during which he could be force-fed the language of the nearest city-state by a heuristics expert, and then disembarked. The arrangement was that we were to pick him up on our next cruise, a year from now.

If he had to get off the planet before then, he could go into orbit and wait; he had supplies enough. He also had his full field medical kit, including a space suit. Since it is of the nature of Chandalese political geography to shift without notice, he agreed to base himself on the edge of a volcanic region which we could easily identify from space, yet small enough so that we wouldn't have to map it to find the gig.

Then he left. Everything went without incident (he told me later) until he entered the city-state of Gandu, whose language he had and where our embassy was. He had of course been told that the Chandalese, though humanoid, are three times as tall as Earthmen, but it was a little unnerving all the same to walk among them. Their size suited their world, which was a good twelve thou. sand miles in diameter. Surprisingly, it was not very dense, a fact nobody had been able to explain, since it was obviously an Earthlike planet; hence there was no gravitational impediment to growing its natives very large, and grow large they did. He would have to do much of his doctoring here on a stepladder, apparently.

The charge d'affaires at the embassy, like those of us on ship, did his best to dissuade Naysmith.

"I don't say that you can't do something about the situation here," he said. "Very likely you can. But you'll be meddling with their social structure. Public health here is politics, and vice versa. The Heart stars—"

"Bother the Heart stars," Naysmith said, thereby giving the charge d'affaires the worst fright he had had in years. "If it can be done, it ought to be done. And the best way to do it is to go right to the worst trouble spot."

"That would be Iridu, down the river some fifteen miles," the charge d'affaires said. "Dying out very rapidly. But it's proscribed, as all those places are."

"Criminal. What about language?"

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