Before I returned to America I had discovered that there were other genuine reasons for living among the poor than that of practicing medicine upon them, and my brief foray into the profession was never resumed.
The long illness left me in a state of nervous exhaustion with which I struggled for years, traces of it remaining long after Hull-House was opened in 1889. At the best it allowed me but a limited amount of energy, so that doubtless there was much nervous depression at the foundation of the spiritual struggles which this chapter is forced to record. However, it could not have been all due to my health, for as my wise little notebook sententiously remarked, "In his own way each man must struggle, lest the moral law become a far-off abstraction utterly separated from his active life."
It would, of course, be impossible to remember that some of these struggles ever took place at all, were it not for these selfsame notebooks, in which, however, I no longer wrote in moments of high resolve, but judging from the internal evidence afforded by the books themselves, only in moments of deep depression when overwhelmed by a sense of failure.
One of the most poignant of these experiences, which occurred during the first few months after our landing upon the other side of the Atlantic, was on a Saturday night, when I received an ineradicable impression of the wretchedness of East London, and also saw for the first time the overcrowded quarters of a great city at midnight. A small party of tourists were taken to the East End by a city missionary to witness the Saturday night sale of decaying vegetables and fruit, which, owing to the Sunday laws in London, could not be sold until Monday, and, as they were beyond safe keeping, were disposed of at auction as late as possible on Saturday night. On Mile End Road, from the top of an omnibus which paused at the end of a dingy street lighted by only occasional flares of gas, we saw two huge masses of ill-clad people clamoring around two hucksters' carts. They were bidding their farthings and ha'pennies for a vegetable held up by the auctioneer, which he at last scornfully flung, with a gibe for its cheapness, to the successful bidder. In the momentary pause only one man detached himself from the groups. He had bidden in a cabbage, and when it struck his hand, he instantly sat down on the curb, tore it with his teeth, and hastily devoured it, unwashed and uncooked as it was. He and his fellows were types of the "submerged tenth," as our missionary guide told us, with some little satisfaction in the then new phrase, and he further added that so many of them could scarcely be seen in one spot save at this Saturday night auction, the desire for cheap food being apparently the one thing which could move them simultaneously. They were huddled into ill-fitting, cast-off clothing, the ragged finery which one sees only in East London. Their pale faces were dominated by that most unlovely of human expressions, the cunning and shrewdness of the bargain-hunter who starves if he cannot make a successful trade, and yet the final impression was not of ragged, tawdry clothing nor of pinched and sallow faces, but of myriads of hands, empty, pathetic, nerveless and workworn, showing white in the uncertain light of the street, and clutching forward for food which was already unfit to eat.
Perhaps nothing is so fraught with significance as the human hand, this oldest tool with which man has dug his way from savagery, and with which he is constantly groping forward. I have never since been able to see a number of hands held upward, even when they are moving rhythmically in a calisthenic exercise, or when they belong to a class of chubby children who wave them in eager response to a teacher's query, without a certain revival of this memory, a clutching at the heart reminiscent of the despair and resentment which seized me then.
For the following weeks I went about London almost furtively, afraid to look down narrow streets and alleys lest they disclose again this hideous human need and suffering. I carried with me for days at a time that curious surprise we experience when we first come back into the streets after days given over to sorrow and death; we are bewildered that the world should be going on as usual and unable to determine which is real, the inner pang or the outward seeming. In time all huge London came to seem unreal save the poverty in its East End. During the following two years on the continent, while I was irresistibly drawn to the poorer quarters of each city, nothing among the beggars of South Italy nor among the salt miners of Austria carried with it the same conviction of human wretchedness which was conveyed by this momentary glimpse of an East London street. It was, of course, a most fragmentary and lurid view of the poverty of East London, and quite unfair. I should have been shown either less or more, for I went away with no notion of the hundreds of men and women who had gallantly identified their fortunes with these empty-handed people, and who, in church and chapel, "relief works," and charities, were at least making an effort towards its mitigation.
Our visit was made in November, 1883, the very year when the Pall Mall Gazette exposure started "The Bitter Cry of Outcast London," and the conscience of England was stirred as never before over this joyless city in the East End of its capital. Even then, vigorous and drastic plans were being discussed, and a splendid program of municipal reforms was already dimly outlined. Of all these, however, I had heard nothing but the vaguest rumor.
No comfort came to me then from any source, and the painful impression was increased because at the very moment of looking down the East London street from the top of the omnibus, I had been sharply and painfully reminded of "The Vision of Sudden Death" which had confronted De Quincey one summer's night as he was being driven through rural England on a high mail coach. Two absorbed lovers suddenly appear between the narrow, blossoming hedgerows in the direct path of the huge vehicle which is sure to crush them to their death. De Quincey tries to send them a warning shout, but finds himself unable to make a sound because his mind is hopelessly entangled in an endeavor to recall the exact lines from the Iliad which describe the great cry with which Achilles alarmed all Asia militant. Only after his memory responds is his will released from its momentary paralysis, and he rides on through the fragrant night with the horror of the escaped calamity thick upon him, but he also bears with him the consciousness that he had given himself over so many years to classic learning—that when suddenly called upon for a quick decision in the world of life and death, he had been able to act only through a literary suggestion.
This is what we were all doing, lumbering our minds with literature that only served to cloud the really vital situation spread before our eyes. It seemed to me too preposterous that in my first view of the horror of East London I should have recalled De Quincey's literary description of the literary suggestion which had once paralyzed him. In my disgust it all appeared a hateful, vicious circle which even the apostles of culture themselves admitted, for had not one of the greatest among the moderns plainly said that "conduct, and not culture is three fourths of human life."
For two years in the midst of my distress over the poverty which, thus suddenly driven into my consciousness, had become to me the "Weltschmerz," there was mingled a sense of futility, of misdirected energy, the belief that the pursuit of cultivation would not in the end bring either solace or relief. I gradually reached a conviction that the first generation of college women had taken their learning too quickly, had departed too suddenly from the active, emotional life led by their grandmothers and great-grandmothers; that the contemporary education of young women had developed too exclusively the power of acquiring knowledge and of merely receiving impressions; that somewhere in the process of 'being educated' they had lost that simple and almost automatic response to the human appeal, that old healthful reaction resulting in activity from the mere presence of suffering or of helplessness; that they are so sheltered and pampered they have no chance even to make "the great refusal."
In the German and French pensions, which twenty-five years ago were crowded with American mothers and their daughters who had crossed the seas in search of culture, one often found the mother making real connection with the life about her, using her inadequate German with great fluency, gaily measuring the enormous sheets or exchanging recipes with the German Hausfrau, visiting impartially the nearest kindergarten and market, making an atmosphere of her own, hearty and genuine as far as it went, in the house and on the street. On the other hand, her daughter was critical and uncertain of her linguistic acquirements, and only at ease when in the familiar receptive attitude afforded by the art gallery and opera house. In the latter she was swayed and moved, appreciative