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Evolution and Medicine
Robert T. (Tommy) Mitchell, M.D.*

Volume #4
Spring 2007

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Dr. Robert T. (Tommy) MitchellIn the field of medicine, creationists are considered hopelessly behind the times.  Endlessly we hear the same old rhetoric: "Evolution is the cornerstone of modern biology."  In a recent New York Times online article is found the quote: "Evolution is the basis of biology, biology is the basis of medicine…You’re messing with something important when you mess with evolution." See "Seeing Creation and Evolution in the Grand Canyon," www.nytimes.com, October 6, 2005.

As a practicing physician I have had cause to examine these claims for the importance of evolutionary thought in my daily interaction with patients.  I have also sought the input of many colleagues as to whether or not any evolutionary input is needed for them to adequately serve society in their capacity as physicians.  Regardless of any individual’s particular religious persuasion (many of my colleagues being avowed atheists or theistic evolutionists who mock me constantly for my young earth creationist stance), not one example could be put forth of the need for evolution or belief in its tenets to practice modern medicine.

Evolutionists are quick to use many unsupportable arguments to promote their beliefs.  The most often used example is that of antibiotic resistance.  They argue (quite vociferously at times) that one must understand bacteria will evolve to a state of resistance to a particular antibiotic if that antibiotic is overused.  Quite overlooked by the evolutionist are the multiple mechanisms of antibiotic resistance, none of which require or involve so-called evolutionary changes which would add new information into the genome.  For instance, there are examples of antibiotic resistance found in bacteria recovered from the frozen corpses of people who died before the use of antibiotics.  Much antibiotic resistance results from natural selection of populations of already resistant bacteria.  Antibiotics will kill susceptible organisms, and the resistant organisms survive.

Another mechanism of resistance is that occurring when a mutation takes place that might, for example, cause a defect in the bacteria’s ability to transport the antibiotic into the cell, thus rendering the bacteria resistant to that particular antibiotic.  Another mutation might change a binding site used by the antibiotic within the cell, thus rendering it unable to kill the cell.  What is never brought out is the fact that any mutation will result in a loss in information due to the change in genetic material.  Even in the very unusual occurrence of a so-called beneficial mutation, there is an ultimate loss of genetic information available to succeeding generations.  Recently, similar arguments have been put forth to explain resistance in certain strains of the influenza virus.  These arguments fail for the same reason.  This loss of information is inconsistent with a biological model that proposed to explain how organisms become more complex over time.  This is the opposite of molecules to man evolution, and fits well into a creationist model of biology.  Thus antibiotic resistance is not a valid argument for the Darwinian evolutionist.

Evolutionists have also over the years pointed out the many so-called "vestigial organs" in the human body.  It was their contention that these many organs were leftovers from millions of years of onward, upward evolutionary processes and no longer had a useful function.  It can be argued that this viewpoint actually hindered the advancement of medicine as many accepted this concept of vestigial organs and thus expended no effort to seek out possible functions for these organs.  For example, for many years the thymus gland was held to be a nonfunctioning leftover of evolution.  Many children had their thymus gland irradiated needlessly.  We now understand the thymus gland’s important function in the development of a normal immune system.  The appendix, the pineal gland, tonsils, and the coccyx are further examples of organs long held to be leftovers from evolution but now known to have important functions in the development and function of our bodies.  Again it would seem that evolution has been a hindrance rather than a help in the practice of medicine. In fact, there are ‘vestigial organs’ in the human body—but left over from our embryological development.  That is nothing to do with evolution.

Another more recent controversy has revolved around the so-called "poorly designed eye."  Evolutionists argue that the human eye is poorly designed due to the photoreceptors being located behind the nerve fibers.  When one understands how the photons of light are transformed into electrical energy in the retina, and the need for a massive blood supply, the marvelous design of the eye becomes apparent.  For instance, the receptors respond to just one photon of light—the smallest unit of light! There is no "bad design," just a faulty understanding (or perhaps faulty presupposition) on the part of the evolutionist.

Examination of the issue reveals evolution has nothing to offer in regard to operational science, in medicine or otherwise.  That is, any endeavor requiring scientific experimentation in the present can be carried on adequately and completely without any input from molecules to man evolution and its tenets.  Where then, is the evidence of the foundational nature of evolution to medical practice?  It can only be concluded that there is an obvious need to hang on to a worldview that excludes a Creator God, regardless of the lack of empiric evidence to support such a view.

Thus far it seems that evolution cannot be shown to be in any way vital to the practice of medicine—but there is a further issue to be dealt with.  What about man’s suffering?  What about death?  How does the evolutionist explain these things?  If evolution is true (for the sake of argument, you understand), how does a physician understand illness and human tragedy?  The entire basis for evolution is that untold millions of years ago, life began spontaneously from primordial pond scum.  Over the ensuing eons, life became more and more complex and progressed via the process of survival of the fittest.  This unfeeling, merciless, pitiless, unstoppable process has resulted in countless creatures being killed, torn apart, and slaughtered by the "survivors." Those less able to adapt, less able to find food, injured, or in some other way found less worthy in the eyes of evolution fell by the way side. As Carl Sagan said, ‘the secrets of evolution are time and death.’ Humans are supposedly the result of this process.

Can it not be argued that the evolutionist is inconsistent when insisting evolutionary thought is vital to the practice of medicine?  Is it not more consistent to argue that there should be NO doctors?  If survival of the fittest is the mantra of evolution, where is there room for pity?  Where does one show concern for his fellow man?  Are these actions and emotions not at odds with the prime driving force of evolution, that is, survival of the fittest?  Even Darwin himself addressed this issue:

 "With savages, the weak in body and mind are soon eliminated; and those that survive commonly exhibit a vigorous state of health. We civilised men, on the other hand, do our utmost to check the process of elimination; we build asylums for the imbecile, the maimed and the sick; we institute poor laws; and our medical men exert their utmost skill to save the life of everyone to the last moment. There is reason to believe that vaccination has preserved thousands who, from a weak constitution, would formerly have succumbed to smallpox. Thus the weak members of civilised society propagate their kind.

 No one who has attended to the breeding of domestic animals will doubt that this must be highly injurious to the race of man. It is surprising how soon a want of care, or care wrongly directed, leads to the degeneration of a domestic race; but, excepting in the case of man himself, hardly anyone is so ignorant as to allow his worst animals to breed.

The aid which we feel impelled to give to the helpless is mainly an incidental result of the instinct of sympathy, which was originally acquired as part of the social instincts, but subsequently rendered in the manner previously indicated more tender and more widely diffused. Nor can we check our sympathy, even without deterioration in the noblest part of our nature ... We must, therefore, bear the undoubtedly bad effects of the weak surviving and propagating their kind." (Charles Darwin, The Descent of Man, 2nd Ed., pp. 133–134, 1887)

On the other hand, the creationist has answers to these issues.  If the Lord did, indeed, create the world in six literal days and pronounced His creation "very good," where did suffering come from?  The answer is that it’s "our fault"!  When Adam rebelled against God in the Garden of Eden, he, in effect, said that he wanted to make his owns decisions and live apart from God’s authority.  This is where death and suffering arose.  Since the time of the Fall, "the whole creation groaneth and travaileth in pain together until now" (Romans 8:22).  Death and suffering has been the result until this day.

The concept of helping the weak and the suffering is an entirely Christian outlook.  It has no foundation in evolution and its heartless process of survival of the fittest. To be consistent, a physician espousing an evolutionary worldview must needs question himself about his motives as he is actively working against the natural processes that he claims have brought man to his present condition.

Beginning with the wrong understanding of the origin of life will be detrimental to medicine and technology—only starting with the correct history of life and understanding design suffering from the effects of sin (as recorded in Genesis), will one have the ability to build a consistent worldview to enable us to develop a right approach in medicine and every other area.

* Robert T. (Tommy) Mitchell, M.D. is a graduate of Vanderbilt University School of Medicine and practices Internal Medicine in Gallatin, Tennessee.  He is Board Certified in Internal Medicine and is a Fellow of The American College of Physicians.  For many years he has spoken and written on issues related to the creation/evolution debate.  In 2005, Dr. Mitchell was asked to join Answers in Genesis Ministries as a seminar speaker.


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