to develop them. But where they were established they sometimes proved a Trojan Horse for mission-field organization. The missionary doctor was often, though not always, a layman, but he could neither be treated as an ancillary worker nor fitted into the clerical command structure. This was ensured by the professionalization of medicine in the middle of the nineteenth century; indeed, before that time western medicine probably had little, at least outside of the field of surgery, to offer the rest of the world. (Many of the missionaries who died in the ‘white man’s grave’ of West Africa must have been offered on the grisly altar of medical science.) Early
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