CHIROPRACTIC
by H.L. Mencken
This preposterous quackery flourishes lushly in the back reaches of the
Republic, and begins to conquer the less civilized folk of the big cities.
As the
oldtime family doctor dies out in the country towns, with no competent
successor willing to take over his dismal business, he is followed by some
hearty blacksmith or ice-wagon driver, turned into a chiropractor in six
months, often by correspondence. In Los Angeles the Damned there are
probably more chiropractors than actual physicians, and they are far more
generally esteemed. Proceeding from the Ambassador Hotel to the heart of
the town, along Wilshire boulevard, one passes scores of their gaudy signs;
there are even many chiropractic "hospitals." The morons who pour in from
the prairies and deserts, most of them ailing, patronize these "hospitals"
copiously, and give to the chiropractic pathology the same high respect
that
they accord to the theology of the town sorcerers. That pathology is
grounded upon the doctrine that all human ills are caused by the pressure
of
misplaced vertebra upon the nerves which come out of the spinal cord-in
other words, that every disease is the result of a pinch. This, plainly
enough, is
buncombe. The chiropractic therapeutics rest upon the doctrine that the
way
to get rid of such pinches is to climb upon a table and submit to a heroic
pummeling by a retired piano-mover. This, obviously, is buncombe doubly
damned.
Both doctrines were launched upon the world by an old quack named
Andrew T. Still, the father of osteopathy. For years the osteopaths
merchanted them and made money at the trade. But as they grew opulent
they grew ambitious, ie., they began to study anatomy and physiology. The
result was a gradual abandonment of Papa Still's ideas. The high-toned
osteopath of today is a sort of eclectic. He tries anything that promises
to
work, from tonsillectomy to the X-rays. With four years' training behind
him,
he probably knows more anatomy than the average graduate of the Johns
Hopkins Medical School, or at all events, more osteology. Thus enlightened,
he seldom has much to say about pinched nerves in the back. But as he
abandoned the Still revelation it was seized by the chiropractors, led
by
another quack, one Palmer. This Palmer grabbed the pinched nerve nonsense
and began teaching it to ambitious farm-hands and out-at-elbow Baptist
preachers in a few, easy lessons. Today the backwoods swarm with
chiropractors, and in most States they have been able to exert enough
pressure on the rural politicians to get themselves licensed. Any lout
with
strong hands and arms is perfectly equipped to become a chiropractor. No
education beyond the elements is necessary. The takings are often high,
and
so the profession has attracted thousands of recruits-retired baseball
players,
work-weary plumbers, truck-drivers, longshoremen, bogus dentists, dubious
preachers, cashiered school superintendents. Now and then a quack of some
other school-say homeopathy-plunges into it. Hundreds of promising students
come from the intellectual ranks of hospital orderlies.
Such quackeries suck in the botched, and help them on to bliss eternal.
When
these botched fall into the hands of competent medical men they are very
likely to be patched up and turned loose upon the world, to beget their
kind.
But massaged along the backbone to cure their lues, they quickly pass into
the last stages, and so their pathogenic heritage perishes with them. What
is
too often forgotten is that nature obviously intends the botched to die,
and
that every interference with that benign process is full of dangers. That
the
labors of quacks tend to propagate epidemics and so menace the lives of
all
of us, as is alleged by their medical opponents-this I doubt. The fact
is that
most infectious diseases of any seriousness throw out such alarming
symptoms and so quickly that no sane chiropractor is likely to monkey with
them. Seeing his patient breaking out in pustules, or choking, or falling
into a
stupor, he takes to the woods at once, and leaves the business to the nearest
medical man. His trade is mainly with ambulant patients; they must come
to
his studio for treatment. Most of them have lingering diseases; they tour
all the
neighborhood doctors before they reach him. His treatment, being
nonsensical, is in accord with the divine plan. It is seldom, perhaps,
that be
actually kills a patient, but at all events he keeps many a worthy soul
from
getting well.
The osteopaths, I fear, are finding this new competition serious and
unpleasant. As I have said, it was their Hippocrates, the late Dr. Still,
who
invented all of the thrusts, lunges, yanks, hooks and bounces that the
lowly
chiropractors now employ with such vast effect, and for years the osteopaths
had a monopoly of them But when they began to grow scientific and
ambitious their course of training was lengthened until it took in all
sorts of
tricks and dodges borrowed from the regular doctors, or resurrection men,
including the plucking of tonsils, adenoids and appendices, the use of
the
stomach-pump, and even some of the legerdemain of psychiatry. They now
harry their students furiously and turn them out ready for anything from
growing hair on a bald head to frying a patient with the x-rays. All this
new
striving, of course, quickly brought its inevitable penalties. The osteopathic
graduate, having sweated so long, was no longer willing to take a case
of
delirium tremens for $2, and in consequence he lost patients. Worse, very
few
aspirants could make the long grade. The essence of osteopathy itself could
be grasped by any lively farm-hand or night watchman in a few weeks, but
the borrowed magic baffled him. Confronted by the phenomenon of
gastrulation, or by the curious behavior of heart muscle, or by any of
the
current theories of immunity, he commonly took refuge, like his brother
of the
orthodox faculty, in a gulp of laboratory alcohol, or fled the premises
altogether. Thus he was lost to osteopathic science, and the chiropractors
took him in; nay, they welcomed him. He was their meat. Borrowing that
primitive part of osteopathy which was comprehensible to the meanest
understanding, they threw the rest overboard, at the same time denouncing
it
as a sorcery invented by the Medical Trust. Thus they gathered in the garage
mechanics, ash-men and decayed welter-weights, and the land began to fill
with their graduates. Now there is a chiropractor at every cross-roads.
I repeat that it eases and soothes me to see them so prosperous, for they
counteract the evil work of the so-called science of public hygiene, which
now seeks to make imbeciles immortal. If a man, being ill of a pus appendix,
resorts to a shaved and fumigated longshoreman to have it disposed of,
and
submits willingly to a treatment involving balancing him on McBurney's
spot
and playing on his vertebrae as on a concertina, then I am willing, for
one, to
believe that he is badly wanted in Heaven. And if that same man, having
achieved lawfully a lovely babe, hires a blacksmith to cure its diphtheria
by
puffing its neck, then I do not resist the divine will that there shall
be one less
radio fan later on. In such matters, I am convinced, the laws of nature
are far
better guides than the fiats and machinations of medical busybodies. If
the
latter gentlemen had their way, death, save at the hands of hangmen,
policemen and other such legalized assassins, would be abolished altogether,
and the present differential in favor of the enlightened would disappear.
I can't
convince myself that that would work any good to the world. On the
contrary, it seems to me that the current coddling of the half-witted should
be
stopped before it goes too far -if, indeed, it has not gone too far already.
To
that end nothing operates more cheaply and effectively than the prosperity
of
quacks. Every time a bottle of cancer oil goes through the mails Homo
americanus is improved to that extent. And every time a chiropractor spits
on his hands and proceeds to treat a gastric ulcer by stretching the backbone
the same high end is achieved.
But chiropractic, of course, is not perfect. It has superb potentialities,
but only
too often they are not converted into concrete cadavers. The hygienists
rescue many of its foreordained customers, and, turning them over to agents
of the Medical Trust, maintained at the public expense, get them cured.
Moreover, chiropractic itself is not certainly fatal: even an Iowan with
diabetes may survive its embraces. Yet worse, I have a suspicion that it
sometimes actually cures. For all I know (or any orthodox pathologist seems
to know) it may be true that certain malaises are caused by the pressure
of
vagrom vertebrae upon the spinal nerves. And it may be true that a hearty
ex-boilermaker, by a vigorous yanking and kneading, may be able to relieve
that pressure. What is needed is a scientific inquiry into the matter,
under rigid
test conditions, by a committee of men learned in the architecture and
plumbing of the body, and of a high and incorruptible sagacity. Let a thousand
patients be selected, let a gang of selected chiropractors examine their
backbones and deter mine what is the matter with them, and then let these
diagnoses be checked up by the exact methods of scientific medicine.
Then let the same chiropractors essay to cure the patients whose maladies
have been determined. My guess is that the chiropractors' errors in diagnosis
will run to at least 95% and that their failures in treatment will push
99%. But I
am willing to be convinced.
Where is such a committee to be found? I undertake to nominate it at ten
minutes' notice. The land swarms with men competent in anatomy and
pathology, and yet not engaged as doctors. There are thousands of hospitals,
with endless clinical material. I offer to supply the committee with cigars
and
music during the test. I offer, further, to supply both the committee and
the
chiropractors with sound wet goods. I offer, finally, to give a bawdy banquet
to the whole Medical Trust at the conclusion of the proceedings.