Badge of Infamy | Page 5

a myth of national prestige.
The space effort was turned over to the aircraft industry, which had never been able to manage itself successfully except under the stimulus of war or a threat of war. The failing airplane industry became the space combine overnight, and nobody kept track of how big it was, except a few sharp operators.
They worked out a system of subcontracts that spread the profits so wide that hardly a company of any size in the country wasn't getting a share. Thus a lot of patriotic, noble voters got their pay from companies in the lobby block and could be panicked by the lobby at the first mention of recession.
So Space Lobby took over completely in its own field. It developed enough pressure to get whatever appropriations it wanted, even over Presidential veto. It created the only space experts, which meant that the men placed in government agencies to regulate it came from its own ranks.
The other lobbies learned a lot from Space.
There had been a medical lobby long before, but it had been a conservative group, mostly concerned with protecting medical autonomy and ethics. It also tried to prevent government control of treatment and payment, feeling that it couldn't trust the people to know where to stop. But its history was a long series of retreats.
It fought what it called socialized medicine. But the people wanted their troubles handled free--which meant by government spending, since that could be added to the national debt, and thus didn't seem to cost anything. It lost, and eventually the government paid most medical costs, with doctors working on a fixed fee. Then quantity of treatment paid, rather than quality. Competence no longer mattered so much. The Lobby lost, but didn't know it--because the lowered standards of competence in the profession lowered the caliber of men running the political aspects of that profession as exemplified by the Lobby.
It took a world-wide plague to turn the tide. The plague began in old China; anything could start there, with more than a billion people huddled in one area and a few madmen planning to conquer the world. It might have been a laboratory mutation, but nobody could ever prove it.
It wiped out two billion people, depopulated Africa and most of Asia, and wrecked Europe, leaving only America comparatively safe to take over. An obscure scientist in one of the laboratories run by the Medical Lobby found a cure before the first waves of the epidemic hit America. Rutherford Ryan, then head of the Lobby, made sure that Medical Lobby got all the credit.
By the time the world recovered, America ran it and the Medical Lobby was untouchable. Ryan made a deal with Space Lobby, and the two effectively ran the world. None of the smaller lobbies could buck them, and neither could the government.
There was still a president and a congress, as there had been a Senate under the Roman Caesars. But the two Lobbies ran themselves as they chose. The real government had become a kind of oligarchy, as it always did after too much false democracy ruined the ideals of real and practical self-rule. A man belonged to his Lobby, just as a serf had belonged to his feudal landlord.
It was a safe world now. Maybe progress had been halted at about the level of 1980, but so long as the citizens didn't break the rules of their lobbies, they had very little to worry about. For that, for security and the right not to think, most people were willing to leave well enough alone.
Some rules seemed harsh, of course, such as the law that all operations had to be performed in Lobby hospitals. But that could be justified; it was the only safe kind of surgery and the only way to make sure there was no unsupervised experimentation, such as that which supposedly caused the plague. The rule was now an absolute ethic of medicine. It also made for better fees.
Feldman's father had stuck by the rule but had questioned it. Feldman learned not to question in medical school. He scored second in Medical Ethics only to Christina Ryan.
He had never figured why she singled him out for her attentions, but he gloried in both those attentions and the results. He became automatically a rising young man, the favorite of the daughter of the Lobby president. He went through internship without a sign of trouble. Chris humored him in his desire to spend three years of practice in a poor section loaded with disease, and her father approved; such selfless dedication was the perfect image projection for a future son-in-law. In return, he agreed to follow that period by becoming an administrator. A doctor's doctor, as they put it.
They were married in April and his office was ready in May, complete