Facing opposition from the government and his own family,
David Lang nevertheless, in the tradition of the Randian
hero, possesses an iron will to persist in his conviction of
the moral and efficacious way to practice medicine. For him,
medicine is a passion, not a chore, and he delights in the
scientific approach to real, pressing problems. He is
willing to break government law when it conflicts with his
precise and uncompromising understanding of absolute moral
law. As spiritual fuel for his struggle, he draws his
inspiration from the ballerina Nicole Hudson, who had risen
out of destitution to perform in the ballet, Triumph,
an alternate version of the Greek myths of Prometheus and
Pandora, where man ultimately prevails over the gods.
However, his inspiration is nearly shattered when a terrible
accident leaves Nicole blind, with her optic nerves severed.
In order to save her, David must perform his experimental,
but illegal, nerve regeneration procedure. If he pursues
this aim, he risks losing his job, family, and livelihood.
If he does not, he will certainly lose his moral integrity.
This is the treacherous double bind into which government
regulation places the most rational, benevolent, and
productive of men. His choice, and his struggle, are the
focus of Ms. LaGreca's novel.
A devastatingly efficient critique
Along with a devastatingly efficient critique of government
involvement in medicine, Ms. LaGreca analyzes numerous
broader questions. What do politicians seek when they impose
regulatory programs? Why do some people cave in to the
desire to conform at the cost of their selves and their
values, while others persist in their loyalty to principles?
Why does the government favor those currently in poverty,
while imposing its greatest burdens on those who have risen
out of it due to their own effort? Most importantly, what is
the difference between the objective, the demands of
reality, and the subjective, the whims of other people,
and what happens to a person who favors the latter over the
former? In the process of analyzing these questions, Ms.
LaGreca offers extensive rebuttals to the mentalities of
collectivism, altruism, conformity, and utilitarianism.
Furthermore, Ms. LaGreca demonstrates that it is only on the
grounds of the unmitigated right of the individual to pursue
his self-interest that true freedom in medicine can be
justified. The following conversation between Secretary Lang and
Governor Burrow illustrates the impossibility of
justifying medical innovation solely in the name of the
interest lies in new treatments and cures.'
'The public interest lies in limiting treatment, so we
can meet CareFree's payroll.'
'The public interest lies in nerve repair, Mack.'
'The public interest lies in vaccinations for kids.'
'The public interest lies in crossing new frontiers.'
'The public interest lies in keeping up with our old
'The public interest lies in David's work!'
'I stand for the public! An act against Mack Burrow is
an act against the people!' Burrow roared angrily. Then
his voice lowered to a whisper, as if sharing a secret:
'The public interest is me, Warren. Haven't you
figured that out yet? The public interest is me!'"
This is an excellent illustration of the
fact that, in truth, there exists no such thing as "the public
interest," any more than there exists such a thing as
"society." There are only individuals and individual
interests, and he who claims that the "public interest"
ought to supercede individual interests, only means that
some people's interests should be sacrificed to his own.
Mack Burrow and regulatory politicians like him are no
different from Louis XIV when he claimed, "L'Ιtat, c'est
moi!" [I am the State].
Noble Vision is a novel of heroes and villains, good
and evil in the most fundamental existential sense. In it,
men of integrity confront men of cowardice over the issue of
state-controlled medicine. In the real United States, the
government is still greedily eying the medical field,
seeking to shackle and regulate it in preparation for a
complete usurpation. Will there be enough real-world heroes
to resist this infringement upon individual sovereignty,
prosperity, and progress? For those who wish to partake in
the struggle for free markets, Noble Vision is an
excellent companion and source of intellectual ammunition.