Sapiens: A Brief History of Humankind

That is the theme of the most ancient myth to come down to us – the Gilgamesh myth of ancient Sumer. Its hero is the strongest and most capable man in the world, King Gilgamesh of Uruk, who could defeat anyone in battle. One day, Gilgamesh’s best friend, Enkidu, died. Gilgamesh sat by the body and observed it for many days, until he saw a worm dropping out of his friend’s nostril. At that moment Gilgamesh was gripped by a terrible horror, and he resolved that he himself would never die. He would somehow find a way to defeat death. Gilgamesh then undertook a journey to the end of the universe, killing lions, battling scorpion-men and finding his way into the underworld. There he shattered the stone giants of Urshanabi and the ferryman of the river of the dead, and found Utnapishtim, the last survivor of the primordial flood. Yet Gilgamesh failed in his quest. He returned home empty-handed, as mortal as ever, but with one new piece of wisdom. When the gods created man, Gilgamesh had learned, they set death as man’s inevitable destiny, and man must learn to live with it.

Disciples of progress do not share this defeatist attitude. For men of science, death is not an inevitable destiny, but merely a technical problem. People die not because the gods decreed it, but due to various technical failures – a heart attack, cancer, an infection. And every technical problem has a technical solution. If the heart flutters, it can be stimulated by a pacemaker or replaced by a new heart. If cancer rampages, it can be killed with drugs or radiation. If bacteria proliferate, they can be subdued with antibiotics. True, at present we cannot solve all technical problems. But we are working on them. Our best minds are not wasting their time trying to give meaning to death. Instead, they are busy investigating the physiological, hormonal and genetic systems responsible for disease and old age. They are developing new medicines, revolutionary treatments and artificial organs that will lengthen our lives and might one day vanquish the Grim Reaper himself.

Until recently, you would not have heard scientists, or anyone else, speak so bluntly. ‘Defeat death?! What nonsense! We are only trying to cure cancer, tuberculosis and Alzheimer’s disease,’ they insisted. People avoided the issue of death because the goal seemed too elusive. Why create unreasonable expectations? We’re now at a point, however, where we can be frank about it. The leading project of the Scientific Revolution is to give humankind eternal life. Even if killing death seems a distant goal, we have already achieved things that were inconceivable a few centuries ago. In 1199, King Richard the Lionheart was struck by an arrow in his left shoulder. Today we’d say he incurred a minor injury. But in 1199, in the absence of antibiotics and effective sterilisation methods, this minor flesh wound turned infected and gangrene set in. The only way to stop the spread of gangrene in twelfth-century Europe was to cut off the infected limb, impossible when the infection was in a shoulder. The gangrene spread through the Lionheart’s body and no one could help the king. He died in great agony two weeks later.

As recently as the nineteenth century, the best doctors still did not know how to prevent infection and stop the putrefaction of tissues. In field hospitals doctors routinely cut off the hands and legs of soldiers who received even minor limb injuries, fearing gangrene. These amputations, as well as all other medical procedures (such as tooth extraction), were done without any anaesthetics. The first anaesthetics – ether, chloroform and morphine – entered regular usage in Western medicine only in the middle of the nineteenth century. Before the advent of chloroform, four soldiers had to hold down a wounded comrade while the doctor sawed off the injured limb. On the morning after the battle of Waterloo (1815), heaps of sawn-off hands and legs could be seen adjacent to the field hospitals. In those days, carpenters and butchers who enlisted to the army were often sent to serve in the medical corps, because surgery required little more than knowing your way with knives and saws.

In the two centuries since Waterloo, things have changed beyond recognition. Pills, injections and sophisticated operations save us from a spate of illnesses and injuries that once dealt an inescapable death sentence. They also protect us against countless daily aches and ailments, which premodern people simply accepted as part of life. The average life expectancy jumped from around twenty-five to forty years, to around sixty-seven in the entire world, and to around eighty years in the developed world.⁸