"Medicine, the only profession that labors incessantly to destroy the reason for its existence"
About this Quote
A profession that survives by trying to put itself out of business: Bryce’s line lands because it turns institutional self-interest inside out. Medicine, unlike law or finance, can plausibly claim a telos that isn’t endless demand but the eradication of need itself. The wit is not just in the paradox, but in the implied moral boasting: if doctors ever “won,” they’d make themselves obsolete. That’s an unusually flattering frame for a modern profession often accused of guarding turf, monetizing suffering, or expanding the boundaries of illness.
Bryce writes as a diplomat and liberal statesman watching the late-19th and early-20th century rise of professional authority: germ theory, sanitation, vaccination, anesthesia, and the growing bureaucracies of public health. In that context, “destroy the reason for its existence” isn’t abstract philosophy; it’s the concrete ambition to eliminate smallpox, cholera, puerperal fever - to turn once-normal tragedies into preventable events. The sentence flatters medicine’s best self-image while also quietly acknowledging how rare such an ethic is in organized life.
The subtext carries a second, sharper edge: medicine’s ideal is self-abolition, but the system around it seldom allows that purity. Success creates new frontiers (chronic disease management, longevity, lifestyle interventions), and prevention is notoriously hard to fund because its victories look like nothing happened. Bryce’s paradox endures because it’s both compliment and provocation: if medicine is truly defined by erasing its own necessity, then society has to measure it by absence - and pay for that absence anyway.
Bryce writes as a diplomat and liberal statesman watching the late-19th and early-20th century rise of professional authority: germ theory, sanitation, vaccination, anesthesia, and the growing bureaucracies of public health. In that context, “destroy the reason for its existence” isn’t abstract philosophy; it’s the concrete ambition to eliminate smallpox, cholera, puerperal fever - to turn once-normal tragedies into preventable events. The sentence flatters medicine’s best self-image while also quietly acknowledging how rare such an ethic is in organized life.
The subtext carries a second, sharper edge: medicine’s ideal is self-abolition, but the system around it seldom allows that purity. Success creates new frontiers (chronic disease management, longevity, lifestyle interventions), and prevention is notoriously hard to fund because its victories look like nothing happened. Bryce’s paradox endures because it’s both compliment and provocation: if medicine is truly defined by erasing its own necessity, then society has to measure it by absence - and pay for that absence anyway.
Quote Details
| Topic | Doctor |
|---|
More Quotes by James
Add to List





