physician or spare the patient under such
circumstances. They would "go on," if I understand them, not to seven,
or seventy, only, but to seventy times seven, if they could find
patients. If this is not what they mean, may we respectfully ask them to
state what they do mean, to their next classes, in the name of humanity,
if not of science!

I might repeat the question asked concerning Dr. Rutter's cases, with
reference to those reported by Dr. Roberton. Perhaps, however, the
student would like to know the opinion of a person in the habit of
working at matters of this kind in a practical point of view. To satisfy
him on this ground, I addressed the following question to the President
of one of our principal Insurance Companies, leaving Dr. Meigs's book
and my Essay in his hands at the same time.

Question. "If such facts as Roberton's cases were before you, and the
attendant had had ten, or even five fatal cases, or three, or two even,
would you, or would you not, if insuring the life of the next patient to
be taken care of by that attendant, expect an extra premium over that of
an average case of childbirth?"

Answer. "Of course I should require a very large extra premium, if I
would take take risk at all."

But I do not choose to add the expressions of indignation which the
examination of the facts before him called out. I was satisfied from the
effect they produced on him, that if all the hideous catalogues of
cases now accumulated were fully brought to the knowledge of the public,
nothing, since the days of Burke and Hare, has raised such a cry of
horror as would be shrieked in the ears of the Profession.

Dr. Meigs has elsewhere invoked "Providence" as the alternative of
accident, to account for the "coincidences." ("Obstetrics," Phil. 1852,
p. 631.) If so, Providence either acts through the agency of secondary
causes, as in other diseases, or not. If through such causes, let us
find out what they are, as we try to do in other cases. It may be true
that offences, or diseases, will come, but "woe unto him through whom
they come," if we catch him in the voluntary or careless act of bringing
them! But if Providence does not act through secondary causes in this
particular sphere of etiology, then why does Dr. Meigs take such pains
to reason so extensively about the laws of contagion, which, on that
supposition, have no more to do with this case than with the plague
which destroyed the people after David had numbe