Arrowsmith (novel) - Themes

Themes

The book contains considerable social commentary on the state and prospects of medicine in the United States in the 1920s. Dr. Arrowsmith is a progressive, even something of a rebel, and often challenges the existing state of things when he finds it wanting.

This novel has been inspirational for several generations of pre-medical and medical students. There is much agonizing along the way concerning career and life decisions. While detailing Martin's pursuit of the noble ideals of medical research for the benefit of mankind and of selfless devotion to the care of patients, Lewis throws many less noble temptations and self-deceptions in Martin's path. The attractions of financial security, recognition, even wealth and power distract Arrowsmith from his original plan to follow in the footsteps of his first mentor, Max Gottlieb, a brilliant but abrasive bacteriologist.

In the course of the novel Lewis describes many aspects of medical training, medical practice, scientific research, scientific fraud, medical ethics, public health, and of personal/professional conflicts that are still relevant today. Professional jealousy, institutional pressures, greed, stupidity, and negligence are all satirically depicted, and Martin himself is exasperatingly self-involved. But there is also tireless dedication, and respect for the scientific method and intellectual honesty.

Martin Arrowsmith shares some biographical elements with Félix d'Herelle, who is identified in the novel as a co-discoverer of the bacteriophage and represented as having beaten Arrowsmith into publication with his results.

Arrowsmith has been compared with The Citadel by A. J. Cronin (first published after Arrowsmith in 1937), which also deals with the life experiences of a young idealistic doctor who tries to challenge and improve the existing system of medical practice.

De Kruif is known to have drawn inspiration for locations and characters in Arrowsmith from specific sources. The labwork and experimental process of Max Gottlieb was based on the careers of F. G. Novy and Jacques Loeb. Loeb and De Kruif both worked at the Rockefeller Institute for Medical Research in New York and Novy was De Kruif's longtime mentor.

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