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October 24, 2011

Hippie-punching The Apple Genius: Was Smartass Steve Jobs A Dumbass For Refusing Early Cancer Surgery?

by Evert Cilliers aka Adam Ash

Steve Jobs & appleA lot of people think Steve Jobs was not that smart after all. First diagnosed with pancreatic cancer in October 2003, he waited a full nine months before he had a secret operation in July 2004. He put off the surgery advised by doctors, friends and family, and instead explored macrobiotic diets and other options, including going to "spiritualists." When he finally agreed to the operation, his cancer had spread beyond his pancreas, hastening his impending death.

So what do you think?

What you think depends on one thing and one thing only: whether you are among those who've been very ill or not.

There is a huge chasm between the sick and the well, as big as the chasm between the 1% of rich people who run our country and the 99% who have no say and are at the mercy of the 1%.

It's about as big as the one between the quick and the dead. The quick have plenty to say about the dead, but the dead can't hear or talk back.

Number one: if you're well, the chances are good that you'll feel as ready to blame sick people for their illnesses and their choices about it, as Republicans are at blaming poor people for being poor.

Number two: if you're well, you have no idea what a person goes through who is faced with a life-threatening illness, and you can easily muster the arrogance to judge their choices.

Number three: if you're well, you're just plain lucky in your genes, environment and circumstances, and you'd do well to STFU when to comes to having opinions about others not so fortunate. You're a little like those arrogant men -- Romney, Perry, Santorum, etc. -- who think they have the right to decide for an entire gender, not their own, whether that gender should have a choice to abort a pregnancy or not.

Told of Jobs' choice by biographer Walter Isaacson, 60 Minutes interviewer Steve Kroft asked this question: "How can such a smart man do such a stupid thing?"

It's an obvious question, but only obvious to the well and hale. Steve Kroft has never been seriously ill, obviously, which is why he can blather forth such an arrogant question with such errant reporter's ease.

Put yourself in Steve Jobs' mind. He's been a Zen Buddhist-type all his life (which is a damn sight better than being one of the seeming majority of American holy-rolling Bible-thumping retrogrades).  He is told he needs an operation. But his first reaction was to be wary because, he told his biographer: ‘I didn’t want my body to be opened … I didn’t want to be violated in that way.’”

That may not be a very scientific opinion, but it's an honest and human one. Who wants an operation if there may be another way out?

Steve Jobs did what all of us do these days. He went on the Internet. He researched like crazy. According to The New York Times, he relied on remedies such as fruit juices, acupuncture, herbs and other treatments. No doubt it infuriated and distressed his family, friends and physicians to the max. Most of them must've thought he was kinda loco. But that was Jobs -- a man who lived by his own light.

Jobs also did something only someone with his wealth could. He was one of 20 people in the world to have all the genes of his cancer tumor and his normal DNA sequenced. Cost: $100,000 plus. So he wasn't against technology. He just had a healthy -- or maybe an extremely inhibited -- view of his physical integrity. Similarly, reggae star Bob Marley refused to have a cancerous toe cut off because of a religious belief about "not cutting the flesh," and had an early death at age 35.

It could readily be argued that what made Jobs a different CEO from all others was his Zen Buddhism, and what made Marley a different musical genius from all others was his rasta religion.

The belief systems that made them great also hastened their deaths. Without those beliefs, they wouldn't have had the success in life that they had, and we would not even know them enough to have an opinion about their choices in death. 

Now when a Christian Scientist parent refuses medical treatment of their child on religious grounds, we see fit to criminalize their behavior. That's OK, because a helpless child is endangered by their belief.

But when a mature individual refuses their own treatment for their own reasons, isn't that enough? Or are we all supposed to be all Catholic about it? The Catholic Church considers suicide a sin, because it goes against God's dominion over all life. Do you agree with the Catholics? Do you think God's dominion over your life trumps your own?

Here in America, our lauded individual freedom means we take responsibility for our own actions (unless of course we're a Wall Street banker). We should allow others the grace to decide for themselves what to do about their own lives and their own deaths.

No, Jobs wasn't stupid. He was sick, and he had the right to make his own decisions about it. You get as sick as he was, and you see what you'd figure to choose and try and do, and how you'd feel about others thinking they are better deciders about your fate than you are. According to his biographer, Jobs came to regret this particular decision, but hey, let him and his family deal with those regrets. It's none of our business, and hardly good etiquette to rush to a judgment he was old enough to make for himself.

Thinking Steve Jobs was a dumbass about his cancer exhibits three awfulnesses: 

1. This is one more example of the deleterious Facebookification of our society: in today's private-is-public world, where people send pictures of their private parts to strangers, we appear to assume the constitutional right to have other people's privacy at our public beck and call. We put our own business out for all to see, and think that gives us the right to poke our itching proboscoses into everyone else's business. But Steve Jobs was a famously private person, and now that he's dead, we owe him this prerogative that he claimed for himself in life.

2. This is also another example of the continuing hippie-punching meted out to all deviants-from-the-norm by the more prissy, self-righteous, morally smug "real" Americans in our land, such as the followers of Sarah Palin and the like. Sixty years after hippies have been-and-gone for good, these witch-hunting Americans are still finding dirty hippies under their beds. What was one of the first things the media snarked about Occupy Wall Street? That the kids were a bunch of weed smokers. Well, I've slept at Zuccotti Park a few nights, and manned a table there, and not a single whiff of the goodly herb did I smell (more's the pity, but these are serious youngsters with legitimate beefs about our plutocracy, and a good chance of not only injecting the little matter of massive income inequality into our political conversation, but also a much better chance than the here-today-gone-tomorrow Tea Party of having a salutary influence on our body politic).

3. This also gives another establishment bunch, Big Pharma and the medical establishment, a hefty cudgel with which to smite all avenues of alternative medicine: hey, just look what happened to Steve Jobs. It's quite instructively hilarious that the 60 Minutes TV clip of the discussion about Job's medical choice is introduced by a Pfizer commercial. Hey, corporate America is ready to make hay out of this dude's death.

Listen, all of us will go down one day, the sick and the well. How we choose to do so is our business. It does not speak well of the well to speak ill of the ill. Let the ill speak ill of the ill, and let the well leave well enough alone. Steve's close friends and family members have a lot of their own grief to deal with without any of us adding our facile, over-bearing opinions to it.

Posted by Evert Cilliers at 12:30 AM | Permalink

Comments

WHAT DO I THINK OF YOUR QUESTION? , VERY SIMPLE...WHEN A FOOL MAKES A MISTAKE, NOTHING REALLY SERIOUS HAPPENS BUT WHEN A SMART PERSON DOES, SERIOUS THINGS DO HAPPEN.
GOD BLESS YOU STEVE...

Posted by: FABIAN NATANOWICZ | Oct 24, 2011 9:02:39 AM

Your title alone makes me think the rest of the article wasn't worth reading. Thanks for being so insensitive and rude to the person who probably made the computer you wrote this on.

Posted by: Whats Wrong With You | Oct 24, 2011 9:47:07 AM

I'm really, really tired of hearing about Steve Jobs. To what does he owe his beatification?

Posted by: J. Hawkins | Oct 24, 2011 9:48:52 AM

Is this about Steve Jobs? Or about politics? Or about living and dying? All of the above, perhaps. As a 3x cancer survivor, never knowing if there will be a #4, I found your musings to be clarifying as I consider my own eventual exit. Thank you.

Posted by: Pat | Oct 24, 2011 10:06:18 AM

"It does not speak well of the well to speak ill of the ill."

Amen! And a good poke in the eye for Steve Croft, who trotted out his superciliousness in this weekend's 60 Minutes interview with Walter Isaacson.

Posted by: Joseph Hutchison | Oct 24, 2011 11:32:27 AM

Ugh. This post is its own little cancer. It addresses a non-issue with a gosh-golly-gee-whiz argument and includes such gems as "which is a damn sight better than being one of the seeming majority of American holy-rolling Bible-thumping retrogrades," which is a masterpiece of comparative myopia, and "No, Jobs wasn't stupid," though I've never heard anyone with an authoritative ethos, ever, assert that he might be outside of this article.

Crap writing with a teenage perspective. Before you put up another post, go pop a brew with your buds and talk about how everyone is stupid and no one understands ...

Posted by: GMc | Oct 24, 2011 11:41:02 AM

The essay and subsequent comments just go to show we are still not prepared to confront death and have an adult conversation about it. Our thinking for the most part is still shaped by the monotheistic Judeo-Christian-Islamic ideals.

This piece might have been about suicide, or euthanasia. There is a reason atheist societies have more suicides, it's just the human condition. Maybe Jobs wanted to go peacefully, but then the instinct to survive kicked in and hence the regret, that's human too.

I vaguely remember a study about drowning mothers and their offspring. The mother when she's making conscious decisions will try to prop up her children at the cost of her life. But at some point, self preservation kicks in, and that same mother will try to buoy herself by pushing her kids under, to breathe.

I don't agree with the beatification of Steve Jobs. He was an uber techie, yeah, but not really a saint.

Posted by: Sam | Oct 24, 2011 11:41:03 AM

I don't agree with the beatification of Steve Jobs either. But the article's headline is abhorrent

Posted by: Vivek | Oct 24, 2011 1:25:45 PM

I could care less about hippies, beatification, conservatives, smugness, Big Pharma, or S'ing tFU, for that matter.

If the avoidable deaths of men of genius like Steve Jobs and Satoshi Kon serve as cautionary tales against "alternative medicine," then we're all well-served by reflecting on them. Wanting to help someone is not the same thing as helping someone, and wanting to feel empowered is not the same thing as being empowered. Jobs himself wanted it known that he regretted the decision to delay treatment, as related right here on 3QD below.

Posted by: Space Toast | Oct 24, 2011 4:16:08 PM

A sad commentary on our consumer culture, of which Apple is a part.

http://www.adbusters.org/content/thinner-ever

Posted by: Sam | Oct 24, 2011 8:37:13 PM


No suicide allowed in Chinese factories

Posted by: Louise Gordon | Oct 24, 2011 9:14:02 PM

My cousin's treatable cancer went untreated for months because he took the advice of an alternative medical practitioner. (He died of the cancer.) I myself have a chronic illness that is managed by conventional medicine.

To point out that Steve Jobs' long delay in real treatment due to his alternative medical beliefs may have been fatal or at the very least likely allowed his cancer to spread is not to blame the victim; rather, it's blaming the quackery of alternative medicine. And it certainly isn't 'hippie-punching'. (Just how much of a hippie was Atlas Shrugs fan Jobs anyway, despite his barefoot vegetarian period?)

The thesis of this piece appears to be that contempt for the malign pseudoscience of quack (altie) medicine is conservative and reactionary, and that good progressives should refrain from bashing it. But plenty of right wingers (especially far right conspiracy theorists) also embrace altie medicine of one kind or another. And rationalism and respect for science are progressive values.

Posted by: SM | Oct 24, 2011 10:21:53 PM

Interesting and a nice read, so many thanks to those who share certain views. A lot of noise about nothing,after all an opinion is merely an opinion in itself. It was a good age to leave this planet for Steve Jobs.

Posted by: Alice Reid | Oct 25, 2011 7:40:09 AM

Each one of us possesses a "physician inside", and ultimately this is the doctor whom one must trust in order to decide what treatment best for oneself.

Posted by: Stefan | Oct 25, 2011 12:14:34 PM

Not sure what all the huffy "STFU" outrage is for. It's generally accepted that people get to make their own medical decisions. And when people make bad decisions, they can hurt not only themselves, but those who care about them. Whose responsibility is that?

That said, Jobs' choice might have been rational on a "black swan" basis. Perhaps he decided that the small chance that the alternative stuff works was worth the potential big payoff of long life.

Posted by: Sagredo | Oct 25, 2011 11:43:59 PM

The thesis seems to be that if you are well, you have no right to question the decisions of the sick in regard to their own bodies. So even if if a much loved family member is under the influence of quacks, and is making bad decisions which may cost them their lives, then we the well are supposed to "STFU".

Sorry, but that's nonsense. STFU is cowardice or negligence in such circumstances. Of course, you have to be respectful and sensitive. You also should be non judgemental, which I think is one of the points the author tries to make before losing the point in the midst of his diatribes against Christian conservatives and big pharma and the pig establishment yada yada yada.

But doing nothing is not an option.

Posted by: nickm | Oct 26, 2011 6:51:51 AM

I would prefer to back off a bit and not badmouth anything or anyone. However, the central argument might offer some good for those not ill at present but who might someday confront a serious illness.

Usually, alternative medicine is a path chosen when conventional medicine fails and the patient seems without any hope. In this instance, the reverse route was taken.

What remains: why are alternative forms that do not work, are never tested and approved or turned down, allowed even to be available?

Posted by: onan | Oct 26, 2011 6:22:34 PM

Hey! Forty-two years since 1969, not sixty.

Posted by: Zo | Oct 26, 2011 9:38:13 PM

Privacy and hippie-punching are different issues. If Jobs' decision had affected my health, I'd have every right to judge it, and that has nothing to do with hippies. It didn't, and I don't.

Posted by: Jameson Quinn | Nov 1, 2011 6:22:10 AM

We obviously have the "right to judge" Job's medical decision, not in a legal sense, but on the level of abstract ethics. We can ask, for example, what we would do if a loved one acted as he did and delayed medical treatment in favor of "alternative" medicine. Job's expression of regret for his choice invites us to do just that.

Posted by: J. Hawkins | Nov 1, 2011 10:47:19 AM

Interesting read and you may find this interesting > http://seopenistool.biz/apple-steve-jobs-cancer/as IMHO it seems to indicate there was planning involved in what happened...

Posted by: Keith D Mains | Oct 8, 2012 7:39:26 AM

http://seopenistool.biz/apple-steve-jobs-cancer/

link got messed up sorry :)

Posted by: Keith D Mains | Oct 8, 2012 7:40:49 AM

Truth is that nothing could have saved him. Pancreatic cancer is incurable. Whether you drink herbal teas or undergo surgery or radiation, there is no evidence that anything can help with this kind of cancer. On the other hand, there is a lot of evidence that such cancers as prostate cancer are egregiously over diagnosed and hundreds of thousands of men have undergone debilitating surgeries unnecessarily.

Posted by: reader | Oct 8, 2012 11:00:05 AM

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