As I explained in my previous posts about The Flexner Report of 1910 (part 1 outlines the philosophical formation; part 2 outlines the historical/ social formation), a handful of corporate monopolies combined to control one of the most lucrative industries in the world. The following are direct quotes from the document so many still hold in high regard and insist we revisit (without actually reading it, of course) and celebrate its impact on the United States’ medical system that we’ve been conditioned to believe is superior. Please find below those excerpts from Section I (Section II is an itemized critique by state), which most clearly display the attitude of the meddling steel and oil barons, who oversaw the founding of scientific and medical research facilities that are still influential today.
From Historic and General:
- …there has been an enormous over-production of uneducated and ill trained medical practitioners… Taking the United States as a whole, physicians are four or five times as numerous in proportion to population as in older countries like Germany.
- Over-production of ill trained men is due in the main to the existence of a very large number of commercial schools… a mass of unprepared youth is drawn out of industrial occupations into the study of medicine.
- …the conduct of a medical school was a profitable business, for the methods of instruction were mainly didactic*. As the need for laboratories has become more keenly felt, the expenses of an efficient medical school have been greatly increased… these [low] incomes determine the quality of instruction that they can and do offer… many universities desirous of apparent educational completeness have annexed medical schools without making themselves responsible either for the standards of the professional schools or for their support.*inclined towards morality (i.e. intended to be morally instructive)
- The existence of many of these unnecessary and inadequate medical schools has been defended by the argument that a poor medical school is justified in the interest of the poor boy. It is clear that the poor boy has no right to go into any profession for which he is not willing to obtain adequate preparation; but the facts set forth in this report make it evident that this argument is insincere, and that the excuse which has hitherto been put forward in the name of the poor boy is in reality an argument in behalf of the poor medical student.
- A hospital under complete educational control is as necessary to a medical school as a laboratory of chemistry or pathology. High grade teaching within a hospital introduces a most wholesome and beneficial influence into its routine. Trustees of hospitals, public and private, should therefore go to the limit of their authority in opening hospital ward to teaching, provided only that the universities secure sufficient funds on their side to employ as teachers men who are devoted to clinical science.
…It seems desirable but also in connection with both the medical school and the university or college to add one word further concerning the relation of financial support to efficiency and sincerity. Where any criticism is attempted of inadequate methods or inadequate facilities, no reply is more common than this: “Our institution cannot be judged from its financial support. It depends upon the enthusiasm and the devotion of its teachers and its supporters and such devotion cannot be measured by financial standards.”
Such an answer contains so fine a sentiment and so pregnant a truth that it oftentimes serves to turn aside the most just criticism. It is true that every college must ultimately depend upon the spirit and devotion of those who work in it, but behind this noble statement hides most of the insincerity, sham, and pretense not only of the American medical school, but of the American college. The answer quoted is commonly made by the so-called university that, with an income insufficient to support a decent college, is trying to cover the whole field of university education…
It will, however, be urged by weak schools that the fact that an institution is ill mannered and poorly equipped is inconclusive; that in the time devoted to the examination of a single school it is impossible to do it justice. Objection of this kind is apt to come from school of two types– ineffective institutions in large cities, and schools attached to colleges in small towns in which clinical material is scarce…
The development which is here suggested for medical education is conditioned largely upon three factors: first, upon the creation of a public opinion which shall discriminate between the ill trained and the rightly trained physician, and which will also insist upon the enactment of such laws as will require all practitioners of medicine, whether they belong to one sect or another, to ground themselves in the fundamentals upon which medical science rests; secondly, upon the universities and their attitude towards medical standards and medical support; finally, upon the attitude of the members of the medical profession towards the standards of their own practice and upon their sense of honor with respect to their own profession.
These last two factors are moral rather than educational. They call for an educational patriotism on the part of the institutions of learning and a medical patriotism on the part of the physician. By educational patriotism I mean this: a university has a mission greater than the formation of a large student body or the attainment of institutional completeness, namely the duty of loyalty to the standards of common honesty, of intellectual sincerity, of scientific accuracy…
By professional patriotism amongst medical men I mean that sort of regard for the honor of the profession and that sense of responsibility for its efficiency which will enable a member of that profession to rise above the consideration of personal or professional gain…
There is raised in the discussion of this question a far-reaching economic problem to which society has yet given little attention; that is to say, What safeguards may society and the law throw about admission to a profession like that of law or of medicine in order that a sufficient number of men may be induced to enter it and yet the unfit and the undesirable may be excluded?
It is evident that in a society constituted as are our modern states, the interests of the social order will be served best when the number of men entering a given profession reaches and does not exceed a certain ratio…
From Financial Aspects of Medical Education:
The exact status of the hospital may indeed vary: a proper footing has been obtained now through coordinate and cooperative endowment, again through state support in connection with the state university, at times through a really effective affiliation. The crucial points are these: 1) the hospital must be of sufficient size; 2) it must be equipped with teaching and working quarters closely interwoven in organization and conduct with the fundamental laboratories of the medical school; 3) the school faculty must be the sole and entire hospital staff, appointment to which follows automatically after appointment to the corresponding school position; 4) the teaching arrangements to be adopted must be left to the discretion and judgment of the teachers, subject only to such oversight as will protect the welfare of the individual patient.
…If hospitals are to enter into exclusive and practically complete relationships with a single medical school, the university must on its side procure funds which enable it to be independent of the local profession. Unless these two conditions are coincidently fulfilled, the clinical situation cannot be thoroughly made over.
…Our clinical failure concurs with the clinical success of the Germans in proving that freedom is the very life-breath of scientific progress,– freedom on the part of the university to choose its own teachers, finding them where it may; freedom on the part of the teachers to strike out along whatever path they please. An artificial impediment will in general entail barrenness…
From Medical Sects:
…It will be clear, then, why, when outlining a system of schools for the training of physicians on scientific lines, no specific provision is made for homeopathy. For everything of proved value in homeopathy belongs of right to scientific medicine and is at this moment incorporate in it; nothing else has nay footing at all, whether it be of allopathic or homeopathic lineage. ‘A new school of practitioners has arisen,’ says Dr. Osler, ‘which cares nothing for homeopathy and less for so-called allopathy. It seeks to study, rationally and scientifically, the actions of drugs, old and new…’
As I’ve explained, the main objective of the Flexner Report was to establish an elite German-style school for the wealthy to remain so, chiefly by partnering with Big Pharma to manipulate the general public into believing the new partnership, which they touted as “Science” should be blindly trusted in all things in place of traditional religion; postmodern Humanism, would be the new dogma. This is demonstrated by the worldview of Margaret Sanger, main founder of what is now Planned Parenthood.
From her 1938 autobiography:
…The Rutgers method for establishing new clinics had resulted in a sound system for dealing with the birth rate. The men and women who acted as his councilors understood that a rising birth rate, no matter where in the country, would soon be followed by a high infant mortality rate. Accordingly, they reported this quickly to the society, which sent a midwife or practical nurse, trained in the technique standardized by Dr. Rutgers, into the congested sector to set up a demonstration clinic…
Her duty was to go into the home where a child had died, inquire into the cause, and give friendly advice regarding the mother’s own health. She also encouraged her not to have another baby until the condition of ignorance, poverty, or disease, whichever it might be, had either been bettered or eliminated. Whenever four had been born into such a family this advice was made more emphatic.
As soon as Dr. Rutgers had explained his policy to me I had that most important answer to the puzzling and bothersome problem of the increasing population in the Netherlands brought about by birth control. It was proper spacing. The numbers in a family or the numbers in a nation might be increased just as long as the arrival of children was not too rapid to permit those already born to be assured of livelihood and to become assimilated into the community.
Dr. Rutgers suggested I come to his clinic the next day and learn his technique. He was at the moment training two midwives preparatory to starting a new center… I used to bombard the little man with questions concerning each case. I took issue with him over his autocratic system of dictating without explanation. Merely saying, “This is what you do. Do this always,” had to my mind no educational value.
“Don’t you think it would be a good idea to tell your patients what you’re aiming at and why?” I asked.
“No, can’t take time. They must do as they’re told.”
…At every meeting Dr. Ferdinand Goldstein of Berlin, who was hard of hearing, sat in the front row. The mention of any phase of population, on which he was an expert, brought him promptly to his feet. Standing directly in front of the speaker, he cupped his ear in order not to miss a single word. The one discordant note occurred on the last day when the committee declined to embody in its program any endorsement of abortion. He not only left the Conference but went back to Germany without saying good-by to anyone…
…eugenics without birth control seemed to me a house built upon sands. It could not stand against the furious winds of economic pressure which had buffeted into partial or total helplessness a tremendous proportion of the human race. The eugenists wanted to shift the birth control emphasis from less children for the poor to more children for the rich. We went back of that and sought first to stop the multiplication of the unfit. This appeared the most important and greatest step towards race betterment…
…The Greeks, with their innate genius for dramatizing basic truths in images of telling beauty, established of old the relay torch race, or Lampadephoria, in honor of the Titan Prometheus, who had bestowed the divine gift of fire upon humanity. The contest was held at night, the great flambeaux being appropriately kindled at the altar of Eros. Participation was not a distinction indiscriminately conferred; those elect were fitted by discipline to hand on the vital flame, just as parents need training before becoming eligible for their grave responsibilities. The figures speeding around the course symbolize the passing on of the spark of life from generation to generation. Each runner must deliver his torch undimmed to his successor.
“Build thou beyond thyself,” said Nietzche, and this the birth control movement is doing. All peoples will in the future have greater regard for the quality of the bodies and brains which must be equipped for the task of building the future civilization; birth control will be the cornerstone of that great structure.
As history shows, the importation and assimilation of Nazi-era military personnel (e.g. Operation Paperclip), who would design and implement technology to be used in conjunction with the application of treatments such as heavy narcotics/ psychotropic drugs (e.g. Sigmund Freud’s interest in cocaine, hypnosis and sex; the CIA’s MK-Ultra mind control experiments), would include inhumane experimentation on those segments of Society deemed “unfit or undesirable,” hence the need to maintain highly exclusive criteria for admission to medical school.
In light of this, how can those who champion enlightenment, evolution, innovation, modernization— while simultaneously touting the principles of wealthy elitists (e.g. Jeffrey Epstein) who sympathize with supposedly “outdated” Supremacist ideals– possibly be trusted to keep our best interests at heart when making decisions regarding our health and wellness? Is this who we want financing research? The evidence of the population control mission is overwhelming. When will we recognize the Flexner Report of 1910 for what it is?
SOURCES CITED / ADDITIONAL RESOURCES