Christopher Hitchens - The Missionary Position

Those prepared to listen to criticism of Mother Teresa’s questionable motives and patently confused sociological policy are still inclined to believe that her work is essentially humane. Surely, they reason, there is something morally impressive in a life consecrated to charity. If it were not for the testimony of those who have seen the shortcomings and contradictions of her work firsthand, it might be sufficient argument, on the grounds that Mother Teresa must have done some genuine good for the world’s suffering people.

However, even here the record is somewhat murky and uneven, and it is qualified by the same limitations as apply to the rest of Mother Teresa’s work: that such work is undertaken not for its own sake but to propagandize one highly subjective view of human nature and need, so that she may one day be counted as the beatific founder of a new order and discipline within the Church itself. Even in the quotidian details of ostensibly ‘charitable’ labour, this unresolved contradiction repeatedly discloses itself.

Take, as one unremarked example, the visit of Dr Robin Fox to the Mother Teresa operation in Calcutta in 1994. As editor of The Lancet, perhaps the world’s leading medical journal, Dr Fox was professionally interested in, and qualified to pronounce upon, the standards of care. The opening paragraphs of his report in the journal’s 17 September 1994 issue also make it clear that he paid his visit with every expectation of being favourably impressed. Indeed, his tone of slightly raised-eyebrow politeness never deserts him:

There are doctors who call in from time to time but usually the sisters and volunteers (some of whom have medical knowledge) make decisions as best they can. I saw a young man who had been admitted in poor shape with high fever, and the drugs prescribed had been tetracycline and paracetamol. Later a visiting doctor diagnosed probable malaria and substituted chloroquine. Could not someone have looked at a blood film? Investigations, I was told, are seldom permissible. How about simple algorithms that might help the sisters and volunteers distinguish the curable from the incurable? Again no. Such systematic approaches are alien to the ethos of the home. Mother Teresa prefers providence to planning; her rules are designed to prevent any drift towards materialism: the sisters must remain on equal terms with the poor…. Finally, how competent are the sisters at managing pain? On a short visit, I could not judge the power of their spiritual approach, but I was disturbed to learn that the formulary includes no strong analgesics. Along with the neglect of diagnosis, the lack of good analgesia marks Mother Teresa’s approach as clearly separate from the hospice movement. I know which I prefer. [Emphasis added.]

It should be underlined that the state of affairs described by Dr Fox was not that obtaining in some amateur, impoverished clinic in a disaster zone. Mother Teresa has been working in Calcutta for four and a half decades, and for nearly three of them she has been favoured with immense quantities of money and material. Her ‘Home for the Dying’, which was the part of her dominion visited by Dr Fox, is in no straitened condition. It is as he described it because that is how Mother Teresa wishes it to be. The neglect of what is commonly understood as proper medicine or care is not a superficial contradiction. It is the essence of the endeavour, the same essence that is evident in a cheerful sign which has been filmed on the wall of Mother Teresa’s morgue. It reads ‘I am going to heaven today’.

According to many other former volunteers, Dr Fox may have paid his visit on an unusually good day, or may have been unusually well looked after. Mary Loudon, a volunteer in Calcutta who has since written extensively about the lives of nuns and religious women, has this testimony to offer about the Home for the Dying:

My initial impression was of all the photographs and footage I’ve ever seen of Belsen and places like that, because all the patients had shaved heads. No chairs anywhere, there were just these stretcher beds. They’re like First World War stretcher beds. There’s no garden, no yard even. No nothing. And I thought what is this? This is two rooms with fifty to sixty men in one, fifty to sixty women in another. They’re dying. They’re not being given a great deal of medical care. They’re not being given painkillers really beyond aspirin and maybe if you’re lucky some Brufen or something, for the sort of pain that goes with terminal cancer and the things they were dying of…

They didn’t have enough drips. The needles they used and re-used over and over and over and you would see some of the nuns rinsing needles under the cold water tap. And I asked one of them why she was doing it and she said: ‘Well to clean it.’ And I said, ‘Yes, but why are you not sterilizing it; why are you not boiling water and sterilizing your needles?’ She said: ‘There’s no point. There’s no time.’

The first day I was there when I’d finished working in the women’s ward I went and waited on the edge of the men’s ward for my boyfriend, who was looking after a boy of fifteen who was dying, and an American doctor told me that she had been trying to treat this boy. And that he had a really relatively simple kidney complaint that had simply got worse and worse and worse because he hadn’t had antibiotics. And he actually needed an operation. I don’t recall what the problem was, but she did tell me. And she was so angry, but also very resigned which so many people become in that situation. And she said, ‘Well, they won’t take him to hospital.’ And I said: ‘Why? Al you have to do is get a cab. Take him to the nearest hospital, demand that he has treatment. Get him an operation.’ She said: ‘They don’t do it. They won’t do it. If they do it for one, they do it for everybody.’ And I thought — but this kid is fifteen.

Bear in mind that Mother Teresa’s global income is more than enough to outfit several first-class clinics in Bengal. The decision not to do so, and indeed to run instead a haphazard and cranky institution which would expose itself to litigation and protest were it run by any branch of the medical profession, is a deliberate one. The point is not the honest relief of suffering but the promulgation of a cult based on death and suffering and subjection. Mother Teresa (who herself, it should be noted, has checked into some of the finest and costliest clinics and hospitals in the West during her bouts with heart trouble and old age) once gave this game away in a filmed interview. She described a person who was in the last agonies of cancer and suffering unbearable pain. With a smile, Mother Teresa told the camera what she told this terminal patient: ‘You are suffering like Christ on the cross. So Jesus must be kissing you.’ Unconscious of the account to which this irony might be charged, she then told of the sufferer’s reply: ‘Then please tell him to stop kissing me.’ There are many people in the direst need and pain who have had cause to wish, in their own extremity, that Mother Teresa was less free with her own metaphysical caresses and a little more attentive to actual suffering.

After I had helped to make Hell’s Angel, a documentary about Mother Teresa’s shortcomings which was screened on Channel Four in England in the autumn of 1994, I received a number of communications from former volunteers and even from former members of the Missionaries of Charity. Some wished to remain anonymous and some seemed actuated by motives of revenge or other personal disorders. My practice in citing the ones I consider to be genuine is as follows: the person must have been willing to be quoted by name and to give bona fide answers to some background questions. Let me instance Ms Elgy Gillespie, author, journalist and sometime editor of The San Francisco Review of Books. Experienced in the care of AIDS patients, she spent some time at Mother Teresa’s San Francisco branch: