Dick Boggs

When I was a medical school junior, we had a rotation on the Neurology service at LA County Hospital. One of my classmates was planning a career in neurology but the reason it was so popular with the students like me who were interested in surgery was that we got to do tracheostomies. A number of patients with severe neurological lesions would require respirators or had trouble with airway secretions requiring a tracheostomy. This was our one chance to do surgery, even a minor procedure as things go. It was good practice and I later did a lot of tracheostomies, some quite difficult and rushed.

Our resident was a very interesting guy named Dick Boggs. He was tall and looked a lot like Orson Welles did when he was young and making “The Third Man.” Boggs was quiet and aloof but let us do trachs and work up any patient we wanted to. I had some very interesting cases. One was a woman who showed all the signs of alcoholic neuropathy, which is very similar to diabetic neuropathey. It was a popular rotation for juniors. Boggs was popular among the residents and was elected the president of the Interns’ and Residents’ Association, which under his leadership took on some of the characteristics of a union.

At the time, intern and resident pay was very low and, aside from a new dormitory that was built for single house staff, we were on our own. I was married with one child, born in March 1965, so I was really on my own. My wife quit her job as a teacher in January 1965 and I was working after hours doing histories and physicals at private hospitals for $7 per hour. Fortunately, my tuition was covered by scholarship but living expenses were tight. We lived on $200/month contributed by our parents, $100 from my father and the same from Irene’s parents. Half of that went for the rent of our two bedroom house in Eagle Rock, near Pasadena. I’m spending some time on details to emphasize what Boggs accomplished for us all.

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Money, Power, Sex versus Subsistence

Brief Note: So, I’m grading intro to lit papers. I don’t mind so much because the class is unusually good this semester and the books they chose are ones that interest me as well as interest them. One of my students has been, in my opinion, led astray by the famous Achebe essay that simplifies Conrad. He is eating it up in fact, his conclusion is that the Bible’s message (and I guess Achebe’s and what Conrad’s should have been) is that we should never judge anyone else. But in the midst of the paper is this interesting observation: “As most people would agree, he who has the gold makes the rules, and so wealthier nations are looking at having the correct ideas of culture because they are thriving more than other cultures. I think the line is drawn between people that are in pursuit of money, power, and sex versus people in pursuit of survival.”

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Rediscovering the Wheel

Two experiences converged lately to remind me we’ve lost faith in what works. First, in Coming Apart: The State of White America, 1960-2010, Murray argues the institutions that encourage and embody the primary values of our culture are purposeful work, a trust community, a strong family, and felt faith. Belonging to these and building the virtues they demand, we consider ourselves “happy.” That’s not new. Franklin describes “felicity” as fulfillment of our nature in productive work, the pleasure of self-respect and the respect of others. That such commitments bring peace doesn’t surprise, but is seldom considered in our cultural conversation. Ignoring these virtues even as we find the consequences of our cavalier treatment of the old standards – indicates we no longer accept the centrality of human nature. Shucking off millennia of traditions may be our nature especially our adolescent nature, but history has lessons, voiced by family and faith, the discipline of work and community. It warns that willful pride may lead us to adolescence, but seldom leads us out.

The famously diverse founders got a lot right. So, I welcomed a second intrusion upon my little world: a talk by the charming Os Guinness, brought by our local Christian faculty group (friends who have given me community as well as collegiality). They discussed his The Case for Civility: And Why Our Future Depends on It. He delights (as perhaps only an immigrant can) in discovering how our founders at once encouraged and dis-established religion. Their genius was the belief man reasons his way to truths; more importantly, perhaps, that convinced belief was stronger than coerced.

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What’s the matter with you, can’t we advocate infanticide without angry blowback?

Francesca Minerva and Alberto Giubilini wrote a paper entitled After-birth abortion: why should the baby live?. They were subsequently shocked that their argument in favor of infanticide instead of putting up for adoption led to death threats.

There is something deeply wrong in the state of modern, academic philosophy and ethics. The first problem is in making the argument. The second is in being so isolated from society that the reaction to the article surprises them.

Update: The journal article has been moved and now resides behind a paywall.

Hoffer on Scribes and Bureaucrats

Nothing is so unsettling to a social order as the presence of a mass of scribes without suitable employment and an acknowledged status…The explosive component in the contemporary scene is not the clamor of the masses but the self-righteous claims of a multitude of graduates from schools and universities. This army of scribes is clamoring for a society in which planning, regulation, and supervision are paramount and the prerogative of the educated. They hanker for the scribe’s golden age, for a return to something like the scribe-dominated societies of ancient Egypt, China, and the Europe of the Middle Ages. There is little doubt that the present trend in the new and renovated countries toward social regimentation stems partly from the need to create adequate employment for a large number of scribes…Obviously, a high ratio between the supervisory and the productive force spells economic inefficiency. Yet where social stability is an overriding need the economic waste involved in providing suitable positions for the educated might be an element of social efficiency.

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