Previously I posted about designing my "Medical Humanties" course, which was themed around science fiction stories focusing on the future of medicine. Today, I want to talk about the sf stories I taught and what I did with them.
- Daniel Keyes, "Flowers for Algeron" (1959). When I was prepping the class last summer, I also happened to read the 1966 novel Flowers for Algernon, which made me remember the original short story from 1959. About a low-IQ adult who goes through an experimental surgery to elevate his IQ, it is quite obviously all about the ethics of medicine! My first time teaching the class, I used it in my genetic engineering unit as a sort of metaphor for the issues of consent and identity raised by genetic engineering. But when I later read the papers by students who wrote about it, I felt I had really done the story a disservice by not actually meaningfully discussing disability! So I created a disability unit the following semester, and used the medical, social, and human rights models of disability as a way of discussing the story.
- Sarah Pinsker, "Pay Attention" (2015). Expanding the disability unit meant I needed a second example of disability-focused piece of sf, otherwise I didn't have much of a unit! One thing I toyed with going from my first semester to my second was dropping Sinclair Lewis's Arrowsmith as my novel and replacing it with Sarah Pinsker's We Are Satellites (2021). This novel is about a brain implant called the "Pilot" that people can get to help them multitask more effectively; I decided not to make the change (I already had a bunch of Arrowsmith lesson plans, of course), but it did cause me to remember that Pinsker also wrote a couple short stories set in the world of We Are Satellites. "Pay Attention" is about a young woman with a mental disability whose Pilot enables her to obtain a military and medical career... but then one day it stops working. Like most of Pinsker's work, a great little story, and it let us talk about different aspects of disability than "Flowers."
- Nancy Kress, "Invisible People" (2020). Moving "Flowers for Algernon" out of the genetic engineering unit meant I needed a second genetic engineering story as well. Looking backward through old blog posts, I found one I made about this story by Nancy Kress, where some parents who used a surrogate discover that their daughter was actually a victim of illegal genetic engineering. I think Kress's story is super clever, raising some interesting issues about less obvious uses of genetic engineering than "would you create a super-genius?", and focusing on some issues of identity and consent that were central to our class. The story ends in a debate that translated well to the classroom, and the story is thematically quite clever.
- Manjula Padmanabhan, "Essence of Gandhi" (1997). As soon as I knew I was doing genetic engineering, I knew I wanted to do this story, which is about Western corporations exploiting the DNA of colonized peoples—I had, after all, published an article on it! Neither semester did my students enjoy it; even though it's just four pages, they found it confusing and alienating. Their loss, I guess. I still think it's clever! (Probably they didn't like it because the story is almost totally unmentioned on the Internet, and thus ChatGPT can't summarize it.)
- Channing Ren, "Resurrection" (2020). I will admit to cheating: this is the first of four short stories I recycled from my life-extension class. Hey, it gave me over a week's worth of lesson plans! What is technological immortality, arguably, other than medicine taken to its utmost? In my second iteration of the course, I moved this to be the first one we read, as it's a useful story for discussing the project of science fiction (it's very easy to get), and it has the most kneejerk negative depiction of immortality.
- Vanessa Fogg, "Traces of Us" (2018). This makes a good second immortality story, because like "Resurrection" it's about consciousness uploading, but it's much more positive, so it works against your assumptions. I will probably import this resequencing back into my immortality course. It also let me discuss "hard sf," of which I would argue it's the only example I taught in this course.
Will McIntosh, "Bridesicle" (2009). This story is about issues relating to a different technology of immortality, cryonics. Students this semester got very into my explanation of what's really going on with cryonics.
- Paolo Bacigalupi, "Pop Squad" (2006). Lastly, we did genetic life extension. This semester, thanks to an episode of Radiolab I had coincidentally heard a week before teaching it, I leaned into some real issues of population explosion and decline; again, I'd like to import these concepts back into my immortality class. They really illuminated for me what I think Bacigalupi is up to in this story; it's about be estranged from the natural process of reproduction.
- Sarah Pinsker, "Escape from Caring Seasons" (2018). The first time I taught the class, a couple students brought up AI as the technology they were most interesting in when it comes to the future of medicine, which made me belatedly think of this story from Pinsker's book Lost Places, where algorithms supercede doctors in a nursing home... not because AI has gone horribly wrong, though, but because it's working exactly as intended. I added the story to my syllabus the second time around. Pinsker thus became my only repeat author.
Cory Doctorow, "Radicalized" (2019). Right around the time I finished teaching the class for the first time, Luigi Mangione shot a health insurance executive; this caused someone to post on the printSF subreddit that "Cory Doctorow's story from Radicalized has come true," alerting me to the existence of this story, about how men whose loved ones have died because of denied insurance claims get radicalized in online forums and begin executing health insurance executives. I added it to the course pretty belatedly (after I had ordered my course packet!) for my second go run. It's a clever story, and let me talk about some important issues affecting American healthcare; students of course had lots of opinions about Luigi, so it taught well. Doctorow's blog post about the story is good reading.
- Samantha Mills, "Rabbit Test" (2022). This Hugo Award–winning story is about medical implants being used by the state to monitor if women are pregnant. Popular with my students, especially the women, and I like Mills's point that any technology that allows you to better understand your own body also allows others to better control your own body. She powerfully links her future technology to the history of birth control and abortion. I taught it as a good example of China MiĆ©ville's dictum that sf isn't really about the future but the present.
Meg Elison, "The Pill" (2020). This is a disturbing novelette about a pill that makes you skinny... but has a 10% chance of killing you! Good for discussing if people's aversion to fatness is really about health; I paired it with concepts and background from Joan Jacobs Brumberg's The Body Project: An Intimate History of American Girls and Jeffrey Sobal's "The Medicalization and Demedicalization of Obesity" to discuss how obesity is viewed as either a medical issue one or an ethical one. (Thanks to my friend Christiana for her help.)
That's it! It was a fun class. I make the students take a survey ranking the stories, but thus far I've been too lazy to actually work up the data, so I'll be interested to see what they liked best when I get around to it all.