"Sometime they don't let you know that they know that they don't know everything, but the core of the medical approach is that you try to identify pathologies, which are subsystems within the human body or the larger system that are having undesirable consequences"
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The sentence staggers forward like a man trying to sound clinical while keeping one eye on the exit. Burgess, a professional deceiver with a taste for institutions, is diagnosing the diagnosticians: doctors often perform certainty even when they know theyre guessing. That first knotty clause isnt just bad syntax; its a little moral labyrinth. It mirrors a social reality in medicine (and, not incidentally, in espionage): authority is maintained by managing what you admit you dont know. Ignorance isnt denied; its strategically concealed.
Then he pivots to the heart of the "medical approach" with the coolness of someone describing a tradecraft manual. Medicine, he argues, works by carving the human being into "subsystems" and hunting for "pathologies" that produce "undesirable consequences". The language is revealingly bureaucratic: not pain, not suffering, but consequences; not bodies, but systems. Its the same reductionist logic that makes large organizations function and that makes surveillance possible. Identify the faulty component, isolate it, correct it, and the machine runs again.
Coming from Burgess, the subtext sharpens: this is admiration and critique at once. He respects the methodical clarity of pathology-hunting while hinting at its blind spots. People are not just systems, and institutions that speak in systems can hide their uncertainty as easily as they hide their failures. In a Cold War context where expertise was a weapon and confidence a performance, his remark reads like an insiders note: the pose of omniscience is part of the job. The danger is when the pose becomes the practice.
Then he pivots to the heart of the "medical approach" with the coolness of someone describing a tradecraft manual. Medicine, he argues, works by carving the human being into "subsystems" and hunting for "pathologies" that produce "undesirable consequences". The language is revealingly bureaucratic: not pain, not suffering, but consequences; not bodies, but systems. Its the same reductionist logic that makes large organizations function and that makes surveillance possible. Identify the faulty component, isolate it, correct it, and the machine runs again.
Coming from Burgess, the subtext sharpens: this is admiration and critique at once. He respects the methodical clarity of pathology-hunting while hinting at its blind spots. People are not just systems, and institutions that speak in systems can hide their uncertainty as easily as they hide their failures. In a Cold War context where expertise was a weapon and confidence a performance, his remark reads like an insiders note: the pose of omniscience is part of the job. The danger is when the pose becomes the practice.
Quote Details
| Topic | Health |
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