A new era of ocean exploration can yield discoveries that will help inform everything from critical medical advances to sustainable forms of energy. Consider that AZT, an early treatment for HIV, is derived from a Caribbean reef sponge, or that a great deal of energy—from offshore wind, to OTEC (ocean thermal energy conservation), to wind and wave energy—is yet untapped in our oceans.

An old medical friend gave me some excellent practical advice. He said: “You will have for some time to go much oftener down steps than up steps. Never mind! win the good opinions of washerwomen and such like, and in time you will hear of their recommendations of you to the wealthier families by whom they are employed.” I did so, and found it succeed as predicted.
[On beginning a medical practice.]

Dressed very plainly, usually with a plain brown skirt of tweed. No cosmetics. Neat but not ostentatious. After all, business was business. She [Florence Sabin] would lecture twice a week. Very rapidly spoken, a little muddy—she was so enthusiastic in trying to correlate the scientific and medical aspect of anatomy (histology). She would tear up her notes after each lecture so that she would have to work it over the next year.

Early diagnosis of disease is the business of the general public even more than of the medical profession.

Financial ruin from medical bills is almost exclusively an American disease.

First, it must be a pleasure to study the human body the most miraculous masterpiece of nature and to learn about the smallest vessel and the smallest fiber. But second and most important, the medical profession gives the opportunity to alleviate the troubles of the body, to ease the pain, to console a person who is in distress, and to lighten the hour of death of many a sufferer.

Half the time of all medical men is wasted keeping life in human wrecks who have no more intelligible reason for hanging on than a cow has for giving milk.

I do not intend to go deeply into the question how far mathematical studies, as the representatives of conscious logical reasoning, should take a more important place in school education. But it is, in reality, one of the questions of the day. In proportion as the range of science extends, its system and organization must be improved, and it must inevitably come about that individual students will find themselves compelled to go through a stricter course of training than grammar is in a position to supply. What strikes me in my own experience with students who pass from our classical schools to scientific and medical studies, is first, a certain laxity in the application of strictly universal laws. The grammatical rules, in which they have been exercised, are for the most part followed by long lists of exceptions; accordingly they are not in the habit of relying implicitly on the certainty of a legitimate deduction from a strictly universal law. Secondly, I find them for the most part too much inclined to trust to authority, even in cases where they might form an independent judgment. In fact, in philological studies, inasmuch as it is seldom possible to take in the whole of the premises at a glance, and inasmuch as the decision of disputed questions often depends on an aesthetic feeling for beauty of expression, or for the genius of the language, attainable only by long training, it must often happen that the student is referred to authorities even by the best teachers. Both faults are traceable to certain indolence and vagueness of thought, the sad effects of which are not confined to subsequent scientific studies. But certainly the best remedy for both is to be found in mathematics, where there is absolute certainty in the reasoning, and no authority is recognized but that of one’s own intelligence.

If I were a medical man, I should prescribe a holiday to any patient who considered his work important.

In 1892 one of us was able within the compass of a short article in a medical journal to give a résumé of our knowledge of the Trypanosomes. To-day it requires a whole volume to relate all that is known about these hæmatozoa and the diseases to which they give rise.

In my opinion, the American “war on drugs” represents merely a new variation in humanity’s age-old passion to “purge” itself of its “impurities” by staging vast dramas of scapegoat persecutions. In the past, we have witnessed religious or “holy” wars waged against people who professed the wrong faith; … now we are witnessing a medical or “therapeutic” war, waged against people who use the wrong drugs.

In the same sense that our judicial system presumes us to be innocent until proven guilty, a medical care system may work best if it starts with the presumption that most people are healthy. Left to themselves, computers may try to do it in the opposite way, taking it as given that some sort of direct, continual, professional intervention is required all the time, in order to maintain the health of each citizen, and we will end up spending all our money on nothing but this.

Medical education does not exist to provide student with a way of making a living, but to ensure the health of the community.

Medical precepts in most cases are veritable absurdities.

Medical researchers have discovered a new disease that has no symptoms. It is impossible to detect, and there is no known cure. Fortunately, no cases have been reported thus far.

Of all the Prizes endowed by Alfred Nobel, only one has an ambiguous name—the Prize for Physiology or Medicine. Nobel believed that physiology was an experimental science like physics and chemistry. On the other hand, medicine was an empirical art that would rarely merit a scientific prize. To the contrary, however, many of the advances in biology during the subsequent 85 years were made by people trained in medicine who were attempting to solve medical problems.

Physiology is the basis of all medical improvement and in precise proportion as our survey of it becomes more accurate and extended, it is rendered more solid.

Sufficient knowledge and a solid background in the basic sciences are essential for all medical students. But that is not enough. A physician is not only a scientist or a good technician. He must be more than that—he must have good human qualities. He has to have a personal understanding and sympathy for the suffering of human beings.

The discovery that viral genes cause cancer was made by Peyton Rous, a medical pathologist whose imagination was aroused when a chicken breeder brought him a hen with a tumor.

The first question which you will ask and which I must try to answer is this, “What is the use of climbing Mount Everest ?” and my answer must at once be, “It is no use.” There is not the slightest prospect of any gain whatsoever. Oh, we may learn a little about the behavior of the human body at high altitudes, and possibly medical men may turn our observation to some account for the purposes of aviation. But otherwise nothing will come of it. We shall not bring back a single bit of gold or silver, not a gem, nor any coal or iron. We shall not find a single foot of earth that can be planted with crops to raise food. It’s no use. So, if you cannot understand that there is something in man which responds to the challenge of this mountain and goes out to meet it, that the struggle is the struggle of life itself upward and forever upward, then you won’t see why we go. What we get from this adventure is just sheer joy. And joy is, after all, the end of life. We do not live to eat and make money. We eat and make money to be able to enjoy life. That is what life means and what life is for.

The full story of successful organ transplantation in man weaves together three separate pathways: the study of renal disease, skin grafting in twins, and surgical determination. A leitmotif permeates each of these pathways, i.e. a single event or report was critical for medical progress.

The history of penicillin is one of the disgraces of medical research. Fleming published his classic paper in the British Journal of Experimental Pathology for June, 1929, but it was not until 1939 that Florey followed up the clue. An antiseptic which is almost ideal, inasmuch as it has no toxic effects, was allowed to slumber for ten years. Had it not been for the exigencies of the present war it might be slumbering still.

The hybridoma technology was a by-product of basic research. Its success in practical applications is to a large extent the result of unexpected and unpredictable properties of the method. It thus represents another clear-cut example of the enormous practical impact of an investment in research which might not have been considered commercially worthwhile, or of immediate medical relevance. It resulted from esoteric speculations, for curiosity’s sake, only motivated by a desire to understand nature.

The links between ecosystem and human health are many and obvious: the value in wetlands of filtering pollutants out of groundwater aquifers; the potential future medical use of different plants’ genetic material; the human health effects of heavy metal accumulation in fish and shellfish. It is clear that healthy ecosystems provide the underpinnings for the long-term health of economics and societies.

The science of medicine is founded on conjecture, and improved by murder.
[Lamenting the deadly consequences of blind ignorance in medical treatments.]

The war on drugs must be a metaphorical war. But that … has to do with our stubborn determination not to come to grips with what a drug is: … our refusal to recognize that the term “drug” is not only a medical but also a political concept. … In short, while seemingly the word “drug” is a part of the vocabulary of science, it is even more importantly a part of the vocabulary of politics. … A drug is either good or bad, effective or ineffective, therapeutic or noxious, licit or illicit. … We deploy them simultaneously as technical tools in our fight against medical diseases and as scapegoats in our struggle for personal security and political stability.

There are about 3,000,000 people seriously ill in the United States…. More than half of this illness is preventable. If we count the value of each life lost at only $1700 and reckon the average earning lost by illness at $700 a year for grown men, we find that the economic gain from mitigation of preventable disease in the United States would exceed $1,500,000,000 a year. … This gain … can be secured through medical investigation and practice, school and factory hygiene, restriction of labor by women and children, the education of the people in both public and private hygiene, and through improving the efficiency of our health service, municipal, state, and national.

There is a hidden healthcare system with clear definitions and roles. Eighty-five percent of healthcare takes place in a big pool without the ‘benefit’ of ‘medical clergy’.

We are a caring nation, and our values should also guide us on how we harness the gifts of science. New medical breakthroughs bring the hope of cures for terrible diseases and treatments that can improve the lives of millions. Our challenge is to make sure that science serves the cause of humanity instead of the other way around.

We are, of course, extremely concerned that if this did, in fact, happen, that there is going to be a tremendous public outcry, and we will be concerned with what the Congress does, … Obviously, we are concerned about there being a backlash against the medical applications of this technology, which have, of course, the potential to cure millions of patients.

With savages, the weak in body or mind are soon eliminated; and those that survive commonly exhibit a vigorous state of health. We civilised men, on the other hand, do our utmost to check the process of elimination; we build asylums for the imbecile, the maimed, and the sick; we institute poor-laws; and our medical men exert their utmost skill to save the life of every one to the last moment.