James White - The Genocidal Healer

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The dejected Surgeon-Captain Lioren is disappointed that his Court-martial has rejected the death penalty for him, and instead has assigned him to O’Mara at Sector General. He is plagued with guilt, because he is responsible for the genocide of an entire race. At moments during his new tasks, he ponders the individual events that led up to the alien deaths.
First contact with the Cromsag planet was quickly followed by the discovery that their entire population was wasting away from some unidentified disease. They were starving, and their birth rate was absymal. Additionally, they were continually in hand-to-hand combat with each other, presumably competing for food.
The Sector General ships hurriedly provided food to malnourished people everywhere, along with medical aid for combat injuries, and tried to determine the cause of the mysterious disease. Despite their best efforts, deaths from the plague continued to increase. Lioren grew frustrated with the slow process of sending samples back to Sector General and awaiting diagnostics and full tests to ensure the effectiveness of potential cures. In his arrogance, he administered a treatment to the entire population… and they rose up and slaughtered each other, wiping out their own race.
Interspersed with recalling these events, he shares some of his story with people at Sector General. Lioren speaks to the terminally ill Dr. Mannen, eventually reviving Mannen’s interest in life. Lioren also offers encouragement to the isolated alien Khone (see Star Healer.) Next he is asked to speak to a gigantic Groalterri, whose race is so advanced they have until now refused all contact with the federated planets. The humans are desperate to make any sort of progress with this race, but the Groalterri patient won’t communicate with anyone. Bit by bit, Lioren shares his own guilty history and talks the suicidal alien into lowering its emotional barriers. From its story he manages to figure out the Groalterri’s hitherto unknown injury and arrange surgery that will change its life. Finally, at the end, Lioren meets with the handful of Cromsag survivors.

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But now O’Mara seemed to be displaying the type of uncharacteristic behavior that it had always considered as a warning symptom in others. By defending this great and terrible crime of negligence against an entire planetary population, a piece of wrong thinking without precedent in Federation history, it was ignoring and reversing the professional habits and practices of a lifetime.

Lioren stared for a moment at the entity’s head fur, which was a much lighter shade of gray than he remembered, and wondered whether the confusions of advancing age had caused it to succumb to one of the psychological ills from which it had tried so hard to protect everyone else. Its words, however, were reasoned and coherent.

“… At no time was it suggested that Lioren was promoted beyond its level of competence,” O’Mara was saying. “It is a Wearer of the Blue Cloak, the highest professional distinction that Tarla can bestow. Should the court wish it I can go into greater detail regarding its total dedication and ability as an other-species physician and surgeon, based on observations made during its time in this hospital. Documentation and personal affidavits provided by senior and junior Monitor Corps officers regarding its deservedly rapid promotion after it left us are also available. But that material would be repetitious and would simply reinforce the point that I have been making, that Lioren’s professional behavior up to and, I submit, while committing the offense of which it is charged, was exemplary.

“I believe that the only fault that the court will find in the accused,” O’Mara went on, “is that the professional standards it has set itself, and until the Cromsag Incident achieved, were unreasonably high and its subsequent feelings of guilt disproportionately great. Its only crime was that it demanded too much of itself when—”

“But there is no crime!” O’Mara’s assistant, Cha Thrat, broke in loudly. It rose suddenly to its full height. “On Sommaradva the rules governing medical practice for a warrior-surgeon are strict, stricter by far than those accepted on other worlds, so I fully understand and sympathize with the feelings of the accused. But it is nonsense to suggest that strict self-discipline and high standards of professional conduct are in any sense bad, or a crime, or even a venial offense.”

“The majority of the Federation’s planetary histories,” O’Mara replied in an even louder voice, the deepening facial color showing its anger at this interruption from a subordinate, “contain many instances of fanatically good political leaders or religious zealots which suggest otherwise. Psychologically it is healthier to be strict in moderation and allow a little room for—”

“But surely,” Cha Thrat broke in again, “that does not apply to the truly good. You seem to be arguing that good is … is bad!”

Cha Thrat was the first entity that Lioren had seen of the Sommaradvan DCNF classification. Standing, it was half again as tall as O’Mara, and its arrangement of four ambulatory limbs, four waist-level heavy manipulators, and a further set for food provision and fine work encircling the neck gave it a shape that was pleasingly symmetrical and stable — unlike that of the Earth-humans, who always seemed to be on the point of falling on their faces. Of all the beings in the room, Lioren wondered if this entity would be the one who best understood his feelings. Then he concentrated his mind on the images coming from the eye that was watching the officers of the court.

Earth-humans gave when displaying amusement or friendship, the Nidian officer’s features were unreadable behind their covering of facial fur, and the fleet commander’s expression did not change at all when it spoke.

“Are the counsels for the defense arguing among themselves regarding the guilt or otherwise of the accused,” it asked quietly, “or simply interrupting each other in their eagerness to expedite the case? In either event, please desist and address the court one at a time.”

“My respected colleague,” O’Mara said in a voice which, in spite of the emotion-filtering process of translation, sounded anything but respectful, “was speaking in support of the accused but was a trifle overeager. Our argument will be resolved, in private, at another time.”

“Then proceed,” the fleet commander said. Cha Thrat resumed its seat, and the Chief Psychologist, its face pigmentation still showing a deeper shade of pink, went on, “The point I am trying to make is that the accused, in spite of what it believes, is not totally responsible for what happened on Cromsag. To do so I shall have to reveal information normally restricted to my department. This material is—”

Fleet Commander Dermod was holding up one forelimb and hand, palm outward. It said, “If this material is privileged, Major, you cannot use it without permission from the entity concerned. If the accused forbids its use—” “I forbid its use,” Lioren said firmly. “The court has no choice but to do the same,” Dermod went on as if the Surgeon-Captain had not spoken. “Surely you are aware of this?”

“I am also aware, as, I believe, are you, sir,” said O’Mara, “that if given the chance the accused would forbid me to say or do anything at all in its defense.”

The fleet commander lowered its hand and said, “Nevertheless, where privileged information is concerned, the accused has that right.”

“I dispute its right to commit judicial suicide,” said O’Mara, “otherwise I would not have offered to defend an entity who is so highly intelligent, professionally competent, and completely stupid. The material in question is confidential and restricted but not, however, privileged since it was and is available to any accredited authority wishing for complete psychological data on a candidate before offering to employ it in a position of importance, or advancement to a level of greater responsibility. Without false modesty I would say that my department’s psych profile on Surgeon-Captain Lioren was what gained its original commission in the Monitor Corps and probably its last three promotions. Even if we had been able to monitor closely the accused’s psych profile following its departure from the hospital there is no certainty that the Cromsag tragedy could have been averted. The personality and motivations of the entity who caused it were already fully formed, stable, and well integrated. To my later regret I saw no reason to alter them in any way.”

The Chief Psychologist paused for a moment to look at the beings crowding the room before returning its attention to the officers of the court. Its desk screen came to life, but O’Mara barely glanced at the upward march of symbols as it continued speaking.

“This is the psych record of a being with a complete and quite remarkable degree of dedication to its profession,” the major said. “In spite of the presence of fellow Tarlans of the female sex at that time, there are no social or sexual activities listed or, indeed, any indication that it wished to indulge in either. Self-imposed celibacy is undertaken by members of several intelligent species for various personal, philosophical, or religious reasons. Such behavior is rare, even unusual, but not unsane.

“Lioren’s file contains no incidents, behavior, or thinking with which I could find fault,” O’Mara went on. “It ate, slept, and worked. While its colleagues were off duty, relaxing or having fun, it spent its free time studying or acquiring extra experience in areas which it considered of special interest. When promotion came, it was intensely disliked by the subordinate medical and environmental maintenance staff on its ward because it demanded of them the same quality of work that it required of itself, but fortunate indeed were the patients who came under its care. Its intense dedication and inflexibility of mind, however, suggested that it might not be suitable for the ultimate promotion to Diagnostician.

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