...[T]he practice of medicine cannot be considered a lucrative profession, if the pecuniary returns are estimated by a comparison with the pecuniary outlay of a medical education. The expense of living during the years of study must increase with every increase in thoroughness, and duration of the term of study, and this must be met by the student, even when the cost to the student, of instruction has been reduced to a minimum. The real cost of instruction, however, cannot be reduced except by diminishing its real value; for its main expense is that required for the brains of its teachers. At the present day the market value of intellect is such that the highest instruction cannot be obtained except at at an expense far above private resources. This expense must be, and is always borne by the state or the public. If society does not choose to assume this expense, the instruction falls at once below the level to which it has risen in other parts of the civilized world. ...You can certainly see in this excerpt why Mary Putnam's entrance into the medical profession was seen as a great loss for literature.
Physicians are not private tradesmen but public officers; for the most mediocre success in their work is required an intellectual capital for which all the intellectual resources in the world must be laid under contribution; and it is to the interests of society, even more than of the physicians, to see that such capital is acquired.
And a special, unrelated, bonus: Where in the world is Dr. Charles Grossman?