Review: The Genocidal Healer
Review: The Genocidal Healer, by James White
| Series: | Sector General #8 |
| Publisher: | Orb |
| Copyright: | 1991 |
| Printing: | May 2003 |
| ISBN: | 0-7653-0663-8 |
| Format: | Trade paperback |
| Pages: | 255 |
The Genocidal Healer is the eighth book in James White's medical science fiction series about the Sector General hospital. As with the rest of the series, detailed memory of the previous books is not required and the books could be read out of order if you didn't mind spoilers.
I read this as part of the Orb General Practice omnibus.
Surgeon-Captain Lioren is a Tarlan doctor who was in charge of the medical response to a newly-discovered civilization. The aliens were suffering from an apparently universal plague and an ongoing vicious war waged entirely through hand-to-hand combat, putting them on the edge of extinction. Lioren rushed the distribution of a possible cure against the advice of the doctors working on developing it, with catastrophic results. As The Genocidal Healer opens, Lioren is insisting on a court-martial in the hope of receiving the sentence it believes it deserves and was denied: death.
(It pronouns are the convention in the Sector General series for all alien races and formal discussions, because even someone prone to bouts of gender essentialism such as White understood the need for avoiding gender assumptions in a science fiction medical context.)
Predictably, both Sector General and the Monitor Corps that technically runs the hospital are flatly unwilling to execute Lioren. Instead, he is assigned as a new apprentice in the psychology department under the legendary O'Mara, where he is ordered to investigate the psychological fitness of a senior doctor named Seldal. This leads him to talk to Seldal's patients, which in turn leads to a challenging set of ethical dilemmas.
The first five chapters (and more than sixty pages) are the story of Lioren's trial and a recounting of the events on Cromsag. The series is full of medical and cultural puzzles like this, and usually I like them, but I thought this one was less successful. We know the vague (and horrible) outline of the ending in advance, and the massive simplification and artificial universality that is required to make this puzzle work is particularly blatant. A universally infectious disease is more of a fiction plot than a believable biological concept, and the number of failures of communication, analysis, and misunderstanding that have to line up to create White's predetermined outcome were a bit much for me.
Once the story gets past that and into Lioren's psychological work, the novel improves. Lioren is guilt-ridden and irrational, but also rather arrogant about his guilt and his concepts of professional responsibility in a way that I think mostly worked. Most of the novel consists of Lioren slowly discovering that people like him and enjoy talking to him, much to his bafflement. In that, it has the gentle kindness and sense of universal basic decency that is characteristic of this series. There are, of course, medical puzzles to solve, although this time they are primarily psychological in nature. Various characters from previous books make an appearance, but White re-explains their background in sufficient detail that you don't need to remember (or have read) those previous books.
There are a lot of similarities between this book and the previous one, Code Blue—Emergency. Both feature nonhuman viewpoint protagonists and amusing descriptions of human facial expressions from an alien perspective. Both feature protagonists with overly rigid ethical structures that partly clash with the generally human policies of Sector General. The Genocidal Healer is a bit more subtle and nuanced, although a lot of Lioren's psychological evaluation rests on an ethical difference that I found somewhat unbelievable. This book, though, tackles a subject the previous book did not: religion. The treatment isn't horrible, but I have some complaints.
My primary issue is that Lioren, who starts as an atheist, does extensive research into religion to help a patient and then starts making statements summarizing the religions beliefs of the majority of known species that are just... Christianity. As someone raised Christian, I recognized it immediately as the sort of abstracted Christianity that Christians claim is universal while completely ignoring the opinions of the adherents of any other religion.
Key components of this majority galactic religious pattern, according to Lioren, include an omnipotent and omnibenevolent creator god, a religious figure who preaches forgiveness and mercy and is persecuted, and emphasis on redemption. This simply is not some abstract universal religion. This is just Christianity in disguise. Even in religions that have some of those elements in their traditions, they do not get the same emphasis and are not handled the way that Lioren describes them. I therefore found Lioren's extended discussions of religion rather annoying, since he kept claiming as relatively universal principles beliefs that are not even held by the majority of religious adherents on Earth, let alone a wildly varying collection of alien races with entirely different biology and societal constructions. It caused a lot of problems for my suspension of disbelief, on top of the annoyance at this repetition of, frankly, Christian propaganda.
Lioren goes, from that research, into theodicy (the problem of evil). The interesting part of this is White's earnest portrayal of a doctor's approach to societal problems: a desire to find workarounds and patches and fixes for anything that makes people unhappy, whether medical or social. It makes sense, given the horrible biologic hands that some of the aliens in this series have been dealt, that they would question the idea of a benevolent god, so this philosophical digression is justified in that sense. But you might guess that a mid-list science fiction author is not going to say something new about one of the oldest problems in Christianity, and indeed he does not. Lioren arrives at the standard handwaving about the unknowability of divine intent, which I found tedious to read but at least not fatal to the plot.
White, thankfully, doesn't take the religious material too far. The characters recognize how sensitive of an issue religion is in a hospital, Lioren never adopts religion fully, and the resolution of the plot is as much biological as philosophical. White is going somewhere with the introduction of religion, and although some of the path there annoyed me, I think the destination worked. White was from Northern Ireland, and therefore well aware of the drawbacks of religion, and he abhorred violence (hence Sector General as a setting), so the reader is in better hands with him than with most authors who might attempt this plot.
I think I know a bit too much about religion to be the best audience for this entry in the series, and I'm not sure the introductory five chapters quite worked. But as with all of the other books in the series, this kept me turning the pages and I'm glad I read it. The Genocidal Healer probably isn't worth seeking out unless you're reading the whole series, but if you're enjoying the rest of the series, you'll probably like this too.
Followed by The Galactic Gourmet.
Rating: 6 out of 10




















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