I did not, thank the Lord, have to have a hysterectomy.
Greed plays a role in causing unnecessary surgery, although I don't think the economic motive alone is enough to explain it. There's no doubt that if you eliminated all unnecessary surgery, most surgeons would go out of business. They'd have to look for honest work, because the surgeon gets paid when he performs surgery on you, not when you're treated some other way. In pre-paid group practices where surgeons are paid a steady salary not tied to how many operations they perform, hysterectomies and tonsillectomies occur only about one-third as often as in fee-for-service situations.
Back in my mid-20s I was told I'd never be able to have children as I wasn't having periods. Doctors tried to start up my monthly cycles, but when nothing worked, they actually offered me a hysterectomy. Without it, they said I might get ovarian cancer in the future. I chose not to have the operation, and am so glad I didn't.
A week in the hospital she had told us. A hysterectomy, she had said. It had seemed unremarkable to me in a woman of forty-six long finished with childbearing, although every day that I grow older I realize there is never anything unremarkable about losing any part of what makes you female - a breast, a womb, a child, a man.
Morality has in the past made progress when we broadened the category of things we weren't permitted to harm (animals, 'infidels'); saw through some delusions and rationalisations about what harms are good for people themselves (prison punishment, hysterectomies for unhappy 1950s wives); and readjusted our for-the-good of others criteria so as to demand only reasonable sacrifices (ceasing to use children as handy chimney sweeps).
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