Chapter Fifteen – The Grand Duke's Favorite
By the end of 1753, The Grand Duke was becoming increasingly concerned about the disappearance of the Cult of the Ancients. Their absence meant an end to the vaccination campaigns against smallpox and other illnesses. The mortality rate among the villages due to lack of medical services already was worsening, according to reports he was receiving. Contemporary European medical practices that had been discredited in the Duchy, such as bleeding, were making a comeback in some areas of the country. Meanwhile, the True Believers were encouraging their adherents to accept sickness as punishment from God and turn away from medical treatment altogether. The True Believer priests gleefully filled the void of medical services with the idea that physical suffering was the result of Divine Judgment for sin and idolatry, and for the Duchy's refusal to submit to the Roman Church.
The Grand Duke pondered how to confront the deteriorating situation of public health in the Duchy and counteract the ignorance being spewed by the True Believers. He had seen the horrid conditions in neighboring countries and did not want his realm to resemble the rest of Europe. The Cult of the Ancients had been the main reason the Duchy's people were relatively healthy. Well, the Cult was now gone, so their services would have to be replaced. Replaced by whom?
The ruler first considered trying to convince the Prophets of the Old Believers to fill the void left by the Followers of the Ancients. Their attitude towards the cosmos and to role of science certainly was better than that of the True Believers. However, relying on the Old Believers to expand their activities into medicine would increase their control of the Duchy's society at the expense of the Royal Family. The Old Believers were strong enough as it was...the Grand Duke had no desire to see them become even stronger. The only other Danubian entity organized enough to provide health services was the Crown itself.
Over time the Grand Duke would come up with a solution that would seem perfectly logical in the 20th Century, but in the middle of the 18th Century was a radical idea. Why not have the Crown control the nation's health services? If the nation's best medical staff were working under the direction of the Grand Duke, the True Believers would not be in a position to oppose modern medicine, because to do so would entail rebelling against the government itself. Choosing which cities would receive medical services would allow the Grand Duke to leverage support from the town councils: if a town council did not support him, he simply wouldn't send any medical staff.
The Grand Duke faced a dilemma with his idea: he did not have any precedent to provide guidance concerning how he could organize the Duchy's doctors and bring medicinal services under his control. He understood that he needed to hire a large number of doctors as government employees, which would involve creating an organization to control their services and travels, pay them, provide supplies, compile records, and conduct medical research. The ruler would need to create a Ministry of Heath, but he did not yet understand the concept in those terms, since such a project had never been attempted by any other ruler in that part of Europe.
The Grand Duke spent restless nights thinking about the Duchy's medical dilemma. The problem was simple: the Cult of the Ancients was gone, the medical services they provided needed to be replaced, and it was up to the Crown to figure out how to replace those services. But...how? The sovereign desperately cast about for ideas; talking to his advisors and sending letters to his ambassadors asking how medical services were provided in the countries where they were stationed.
At the same time he was seeking ideas from foreign capitols, he thought about the most unusual member of his concubine group, the educated peasant girl. He continued probing her knowledge of medicine and alchemy throughout November. He ordered her to assist with the delivery of some babies, including the children of several ex-concubines who had moved to the maternity area before Silvítya was brought to the castle. He was impressed with her skills and knowledge. When workers were injured from falls or soldiers were injured during combat practice, he ordered her to tie her hair and cover it with a scarf and assist with surgeries and setting broken bones. He observed her as she performed her duties with confidence. There was no doubt about it: Silvítya had received training to be a doctor from the Cult of the Ancients.
At the end of November, the Grand Duke ordered Silvítya to kneel in front of him in the throne room and talk in detail about the university in Sebérnekt Ris. Then he stunned her by commenting:
"I find it very interesting that you did not start your medical studies in the university. You were an advanced student, which means you were already trained by the Followers of the Ancients. I understand that you traveled with the Cult as a doctor before you ever set foot in Sebérnekt Ris. I presume you must have spent the summer of last year in Nagorónkti-Serífkti and Dagurúckt-Tók, marking the people against the pox. Before that, you spent the previous winter in the forest, receiving training and practicing your skills. Is that not so?"
"Yes, Your Majesty. Your humble serving girl was there, marking the people against the pox."
"...and I am correct about your winter in the forest?"
"Yes, Your Majesty. Your humble serving girl received medical training in the forest."
"...and when you were in the towns, you showed yourself to the public and performed your duties wearing a Follower's dress?"
"Yes, Your Majesty, your humble serving girl was wearing a Follower's dress."
"...and you carried a skull staff. The Followers did not let members practice medicine if they were uninitiated and had not received their staffs. Is that not so?"
"Yes, Your Majesty. Your humble serving girl carried a staff."
The Grand Duke switched to archaic Danubian. He didn't speak it fluently, but did speak well enough make himself understood: