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EMplOyMENt, wOrk, aNd hEalth iNEQualitiES - A GLOBAL PERSPECTIvE<br />

the doctor is a popular hero: you have only to consider how<br />

frequently and easily he is presented as such on television. if his<br />

training were not so long and expensive, every mother would be<br />

happy for her son to become a doctor. it is the most idealised of all<br />

the professions. Yet it is idealised abstractly. some of the young who<br />

decide to become doctors are at first influenced by this ideal. but i<br />

would suggest that one of the fundamental reasons why many<br />

doctors become cynical and disillusioned is precisely because, when<br />

the abstract idealism has worn thin, they are uncertain about the<br />

value of the actual lives of the patients they are treating. this is not<br />

because they are callous or personally inhuman: it is because they<br />

live in and accept a society which is incapable of knowing what a<br />

human life is worth.<br />

it cannot afford to. if it did, it would either have to dismiss this<br />

knowledge and with it dismiss its pretences to democracy and<br />

become totalitarian: or it would have to take account of this<br />

knowledge and revolutionise itself. either way it would be<br />

transformed.<br />

i do not claim to know what a human life is worth. there can be<br />

no final or personal answer. the question is social. An individual<br />

cannot answer it for himself. the answer resides within the totality<br />

of relations which can exist within a certain social structure at a<br />

certain time. Finally man's worth to himself is expressed by his<br />

treatment of himself.<br />

but since social development is dialectical and there is often a<br />

contradiction between the existing social relations and what is<br />

becoming possible, one can sometimes perceive that the existing<br />

answer is inadequate.<br />

this book challenges us to find another answer to the question:<br />

What is a human life worth And this, i believe, can only be done by<br />

envisaging and actively claiming a future very different from the one<br />

being prepared.<br />

John Berger<br />

drawings by yves Berger<br />

xx

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