- Main Index
- Jammer's Blog
- Caprica
- Battlestar Galactica
- ST: Enterprise
- ST: Voyager
- ST: Deep Space Nine
- ST: Next Generation
- ST: Feature Films
- ST: Original Series
- Andromeda
- Articles & Misc.
- Overview
- Jammer's Notes
- RSS Feeds
- Mobile Edition
- Review Mailer
- Comment Policy
- FAQ
- Feedback
- The Rating Scale
- About the Author
- Plain-Text Edition
- Copyright & Disclaimer




Written by Marie Jacquemetton & Andre Jacquemetton
Directed by James A. Contner
In brief: By miles the best episode so far. An excellent outing in its quiet, pleasant, and startlingly observant way.
John Billingsley's performance of Dr. Phlox makes for a supporting character of the highest order, and it's only because of trying to stay focused on the main points (or perhaps simply because of an oversight on my part) that I have yet to single him out for praise -- or any sort of analysis, for that matter -- in my 11 Enterprise reviews preceding this one.
Billingsley's Phlox has been a supporting role that's incredibly pleasant to watch; it's just been hard to mention as much without it coming across as an aside. But in "Dear Doctor" he finally has the spotlight and I can turn my attention in his direction, giving the character and the actor their due.
I think the key word for this episode is "perspective." This is a story that's all about insights gained through perspective. Also through listening, careful observation, patience, conscience, and understanding. This is a remarkably quiet episode in its presentation. It's almost entirely devoid of histrionics and completely lacking in action. The story simply takes us in a direction and follows it through to its destination, while Phlox carefully observes what goes on around him and serves as our running commentary.
The results are extremely effective. The narrative framing device comes in the form of a letter Phlox is composing to his human counterpart in the interspecies exchange program. Phlox, a Denobulan, is the only one of his species serving with a Starfleet crew. His counterpart, Dr. Lucas, is the only human serving among Denobulans. Of course, we never actually meet Dr. Lucas, because he isn't really a person so much as the story's avenue for Phlox's monologue. And in hearing what Phlox has to say we gain a very unique perspective on what's happening on board the Enterprise -- ranging from his take on how humans invest an emotional stake in fictional movie characters to the major scientific ethics issue involving the natural evolution of an entire world and whether we should interfere in such matters.
The monologue voice-over approach is not an uncommon device in film, but it has only occasionally been used on Trek to such an extent. Most memorably and recently would be DS9's "In the Pale Moonlight," but TNG followers may recognize elements of "Dear Doctor's" narration device being most similar to "Data's Day" (1991) from TNG's fourth season. In that episode, Data chronicled a day in his life aboard the USS Enterprise, also in the form of a letter to a colleague. And in that story, as in this one, the overall theme was witnessing human behavior from a unique outsider's perspective. Here it's even more effective because through Phlox we see more compelling events -- an outsider's view of humanity's early steps into a larger universe, and the responsibilities that come with those steps.
Captain Archer finds himself in a situation where he might be able to help an entire world when representatives from a people called the Valakians ask for help in curing a deadly disease. Treating the disease is beyond their society's medical abilities, so they've turned to off-worlders with better medical technology for help. Unfortunately, it's taken them years just to find anybody, because they don't have warp drive and basically have to wait until other travelers find them. Archer announces his intention to help, and the challenge of curing the disease falls on our good doctor, Phlox.
The alien world medical crisis storyline is hardly new to Trek, but here it serves as the backdrop for (1) a great deal of wonderful observation and insight, and (2) a dilemma that sets a wonderfully appropriate stage for a Prime Directive dilemma, in an era where the Prime Directive does not yet exist.
It starts off routinely enough, as Phlox begins his research by running tests, analyzing DNA, etc. We meet the Valakians and some of their representatives, and we also meet another humanoid species indigenous to their planet, the Menk. It's of a certain peculiar interest that the Valakians and the Menk, two separate and genetically incompatible groups, have both survived as sentient humanoid species. As Phlox points out, in a typical case of the evolutionary process with two distinct species, one group would've likely wiped the other out long ago.
On this planet, both species have evolved alongside each other. The Menk, however, are not as advanced in their intellectual capacities. They are much more primitive, whereas the Valakians have technology and space travel and have made contact with people from other worlds. Phlox believes the cure to the Valakian epidemic may lie in the genetic code of the Menk, who are not suffering from the disease.
Phlox's challenging medical research provides the foreground. In the background are the constantly compelling perspectives as we get a chance to get into Phlox's head and take a look at human behavior, at ourselves, through this perspective. Marie and Andre Jacquemetton deserve high praise for their ability to write a story that manages to truly and insightfully step just a little bit outside and provide a look at human behavior in a way that feels absolutely genuine and unique. All the while it maintains a sort of meta-humanistic attitude; we can relate to Phlox's point of view and understand how we're observed from within it, while at the same time noticing that it's not really all that different. It's just different enough to serve as the story's avenue for examination. Very nice.
Consider this voice-over narration by Phlox: "Despite the Menk's insistence that they're treated well, my human crewmates seem to see things differently. They think the Menk are being exploited by the Valakians, so their first instinct is to rise to their defense despite the fact that the Menk don't appear to need or want a defender." This is great stuff, and so very true. Indeed, the first thought that went through my mind as I watched the Menk (who largely operate as primitive laborers), was that they were capable of something more but that the Valakians were exploiting them and keeping them in their place. I figured this would play into the storyline in some way. But instead, Phlox's narration reveals the human attitude that lurks beneath the situation and exposes an alternate viewpoint -- one that says perhaps this is simply their way of coexisting. And indeed, he's more or less right. The Menk are happy and well treated. It's our gut humanistic values that believe they should be independent and capable of achieving more.
The cultural examination is further demonstrated through the very pleasantly depicted subplot of Crewman Cutler's (Kellie Waymire, reprising her role from "Strange New World") developing romantic interest in Phlox. Throughout the episode Cutler gives Phlox signs of interest, which he's not entirely comfortable in deciphering. He recognizes the cultural and behavioral differences. Later, he explains to her how he has three wives (each of which has two other husbands), which is quite normal in Denobulan culture. This provides a nice point showing how not all cultures operate like human culture, which ties back into the observations of the Menk.
I also very much liked the scene between Phlox and Hoshi where they're talking with each other in Denobulan. (At last, a TV episode of Trek that has subtitles, something long avoided, intentionally, I believe.) I appreciate the supporting use of Hoshi, who continues to have an easy friendship with Phlox, and I like her interest in his culture from the viewpoint of a linguist.
We also see Phlox's take on T'Pol (who apparently doesn't like dental work very much). T'Pol warns him about how humans are curious of new things, and that could explain why Cutler is expressing interest in him. I like how this provides us with T'Pol's own perspective, and I like even more how Phlox explains that he is unsettled by T'Pol's pure logic, which seems to be missing something that an emotional catalyst might add.
By the time the story's key issue comes around, the episode has already accomplished more than most. The key issue, however, is perfectly suited to what Enterprise as a series is about -- confronting new issues. Phlox discovers a cure, along with the fact that the disease is genetic and not caused by any sort of viral or bacterial infection. In short, the epidemic is a natural genetic process of their evolution as people, and the Valakians are likely to be extinct within two centuries. Furthermore, he has evidence that the Menk, living independently, could realize an evolutionary awakening and eventually dominate the planet.
The question no longer is whether Phlox can cure them (he can), but whether he should, and as a scientist, Phlox realizes that he shouldn't interfere with the natural development of an isolated society. When he explains his reasoning to Archer, there's a new tension where Archer finds that his human belief to help the Valakians must be weighed against the moral questions of interfering in a natural process. Subsequently, Archer uses T'Pol as a sounding board in a way that is quite admirable, and explains to her how for the first time he understands why the Vulcans were so reluctant to let humans venture out without a safety net. Archer gets his own new perspective through these events, and decides, even though it goes against his beliefs as a human, that he can't dictate the natural evolution of another world.
Through a series of considered opinions from different perspectives, everyone learns a little bit of something. Phlox realizes that he might have underestimated his captain -- that humans are capable of reacting independent of their feelings and initial instincts.
The episode's closing scene featuring Archer's prophetic statements about the Prime Directive is abundantly clear to the core Trek audience, but by this point the episode has earned every word of Archer's speech. It's earned by putting Phlox and Archer in tough positions with no easy answers and no convenient solutions.
From an execution standpoint, all of this benefits from a careful, consistently even-handed touch by director James A. Contner, who never, ever, pushes for an unnecessary effect and instead maintains the position of staying as invisible as possible. Also helpful is the understated score by David Bell, which provides us with the pleasant emotional cues but without ever coming close to getting in the way. The restraint is admirable and the episode is all the better because of it; I must say that after sitting through scenes of brain-dead action in just about every episode of Andromeda, "Dear Doctor" is evidence that television absolutely does not have to pander to the lowest common denominator or hit us over the head with obvious dialog to get our attention. This episode earns our attention by simply telling a good story.
"Dear Doctor" is, I fear, a rarer treasure than we might at first give it credit for. This episode stops and listens. It hears. It observes. It has a true understanding of human nature. It has perspectives of a kind that I want to see more of. And it believes in an audience that is interested in the true spirit of Star Trek and exploration rather than selling out in the name of being the hip flavor of the week.
This is a real story.
Next week: Return of the Klingons ... and also that decontamination chamber. (Return to reality, I suppose.)
Previous episode: Silent Enemy
Next episode: Sleeping Dogs
I wonder why the creators, especially of Voyager and Enterprise never seemed to realize that the best episodes of Star Trek are those that have an interesting story to tell and not those with the most fighting scenes.
When I think of episodes of that kind, I think about episodes like "The city on the edge of forever", "The Inner Light", "Darmok", "Tapestry", "Duet", "The Visitor", "Jetrel", "Tuvix". Granted, some battle scenes were real eye-candy, but episodes like those mentioned above are the reason I watch Star Trek.
Dear Doctor is so far the first outing of Enterprise really competing for a place on this list!
Even if we accept Phlox's ridiculous interpretation of Evolution, which is really hard to do, it's still bullshit. The Menk clearly rely on the Valakians for food and shelter. If their protectors die, most of the Menk-if not all-are going to die to.
This is Trek at its worse, touting noninterference as an excuse to allow atrocities.
This episode is evil.
There is no question about this: Captain Jonathan Archer and Doctor Phlox, by their inaction, are complicit in the genocide of an entire species. This is not a statement of opinion, this is a fact.
Not only that, but their justification for murdering the Valakians is not a single iota different from ANY philosophy that has been used to justify the termination of a large group of people in history. We're talking about killing millions of people solely because it will benefit a different group of people. This is unequivocally evil.
Phlox: I'm saying we let nature decide.
This is supposed to be the voice of scientific reason? Nature is not an entity capable of making choices. For that matter, evolution is not a higher power that has a plan for all creatures. It is not Allah, Jehovah, Zeus, or the one true Cylon God. Nature simply is. It is simply a process, and to elevate that process into almost a divine plan that must not be interfered with is to descend wholly into insanity.
Look back to the days when it was fine for TV to be racist or sexist. "Dear Doctor" stands out for sheer offensiveness even amongst that lot.
Don't want to start an argument here, but I'm not sure why some of the earlier comments equate holding back alien technology from a society that would have massive implications, some good some bad, for both these species, with the worst moments of our own history. I feel Archer and Phlox faced an honest moral dilemma here.
Btw, I see on the interweb that the actress who played Crewman Cutler died a few years ago. What a cutie she was. Sorry to hear the news.
Because it's immoral.
Of all the systems of ethics ever devised, religion and secular, the only one that I can think of that would justify the crew's actions here is Social Darwinism in its most crude, perverted form. The strong survive, the weak perish.
Come to think of it, that puts Starfleet at about the same level of Species 8472.
Though I believe that Jammer is far too harsh on Trek in all of his reviews (not every episode has to break new ground for me - it just has to tell a good story and tell it well). I'm glad there's still a forum for discussing all the incarnations of one of television's finest achievements. Thanks, Jammer!
As David Key said, it seems that the writers have attributed divine properties to the process of evolution. Evolution does not strive towards a specific goal. Natural selection simply means that individual organisms who succeed are more likely to pass their traits to the next generation.
Phlox says the disease is genetic, implying that evolution has marked the Valakians for extinction, providing more moral justification for his actions. But again, this is not how evolution works. There's no reason that a genetic condition which kills the organism will allow him to survive better then it's counter parts who lack it, making it so common the whole race carries it. We might assume that perhaps this suicidal trait has piggy backed on a successful trait. An organism might carry a trait that facilitate a better survival rate while at the same time carrying a "bad" trait that is transmitted along with the "good" one. But it's hard to imagine how such a trait survived if it kills the carrier. The chances that a non-carrier will survive are always greater.
But even if the race is doomed to extinction, why not help them? There's a second reason of course, the Menk. Should the Valakians die, the Menk might evolve to take their place as a sentient civilization. It's almost comical how the logical progression of events is depicted as a preordained destiny. When a meteor facilitate the extinction of dinosaurs other organisms quickly evolved and filled the niches left. There's nothing magical about it, its just how things work. If you fill a tub with water and then remove a volume of it out in a bucket, water quickly rush to fill the hole. You wont say that the rushing water were 'meant' to fill that hole, it's just how liquid behaves.
So the Valakians are not meant to die, the Menk are not meant to survive. What other reasons are there? Cultural contamination is moot since the Valakians had contact with two warp civilization prior to the enterprise. Giving them a technology is moot because what is given to them is a cure, not the technology to synthesize it.
The only valid reason is a religious one. And make no mistake, this is a religious decision. Archer doesn't want to play God. he doesn't want to interfere in god's plan. They refuse to save countless lives because god might have meant them to die. But this argument is ultimately just as flawed as the others. Lets assume the religious stance for a moment: There's a divine will that has the power to orchestrate any and all events in the universe. We can infare his will from the state of the world around us. He obviously wanted the Valakians to die, why else would they have this genetic flaw. If he wanted them to survive, he might have orchestrated events that would cure them. Like bringing a well meaning race with a advanced enough technology to cure them into the vicinity...
But even this is a stretch. We are supposed to believe that both Archer and Phlox are secular and educated moral people who are faced with a difficult moral decision. No doubt that was the script's intention. But through ignorance, misunderstanding scientific principles and a certain blindness to the moral reprecussions this story raised - an episode was created which supported an immoral decision through inconsequential arguments.
Oren Ashkenazi, David Key, SimonC, Bertie and Hecktar have already brought up many of the points I was about to make.
You'd hope that Science Fiction writers have at least a basic grip of the natural sciences, but Star Trek writers seem to lack even that. We the audience accept the basic premise of faster than light travel and transporter technology as part of the background setting. No problem with that. But Star Trek writers seem to have a special problem grasping even the fundamentals of genetics and the Theory of evolution through genetic variation and natural selection (for thr sake of brevity, I won't get into the topics of epigenetics, proteomics and lateral gene-transfer here). Over the years Trek writers have produced a number of groanworthy "fun with DNA" episodes that had more in common with creationism than sound science. But this episode takes the cake.
David wrote:
"If nothing else, that's a sign that the cast and writers did their job."
No, if the writers had "done their job", these points of discussion would've been brought up by the characters within the episode! Instead, Archer and Phlox are in total agreement. Worse, why are Cpt. Archer and general physician Phlox the ones to make a decision on which hinges the survival of a whole sentient species? Why not call a number of Earth and Vulcan geneticists for help?
It's another false ethical dilemma, dreamt up for the sake of cheap drama.
Worse, Phlox starts from a number of wonky premises. First of all, he simply proclaims that two sentient species cannot coexist on the same planet, or as Jammer put it: "in a typical case of the evolutionary process with two distinct species, one group would've likely wiped the other out long ago". What?? The writers have obviously never heard about co-evolution.
After observing a handful of Menk individuums working in a Valakian household for a few minutes, Phlox comes to the questionable conclusion that the Menk as a species are getting smarter. (Raising the question of how Dear Doctor Phlox measures "intelligence".)
He then proclaims that for some unexplained reason he's 100% certain that Mother Nature is just waiting to make the Menk a fully intelligent species, but the Valakians are in the way of the Menk "realizing their full potential". Again, this is nonsense. (Please note that the writers never try to claim that the Valakians enslaved the Menk.)
We're supposed to feel warm charitable feelings towards the poor semi-intelligent Menk. But the Menk will not die out if the Valakians survive, not will the existance of the Valakians stop the Menk for getting more intelligent... because it hasn't done so up to now!
Furthermore, none of the characters in the episode ever voices the hypothesis that maybe the reason why some Menk are getting smarter (if indeed they do) is because co-evolution and interaction with the more intelligent Valakians is accelerating the development of their brains. On a genetic level, maybe the Valakians select those Menk as household pets that already show a high degree of intelligence, and these Menk become sought-after partners among the other Menk, plus a Menk child born in a Valakian household will have a greater chance not to die in infancy from some disease or malnutrician than those born "in the wild".
More importantly, brains are not static but highly adaptive. Menk living and working in a Valakian household come in contact with completely different stimuli than Menk living among their own. They hear the Valakian language, and have to learn to understand what the Valakians want of them, and in turn learn to make themselves understood. They are trained to work with technology. Adaptive pressure influences brain development. On the other hand, a brain that is not subjected to stimuli becomes retarded, as has been demonstrated both on animals and human case studies.
Furthermore, modern medicine is a product of intelligence. Denying te Valakians medical help is like denying surgery to someone with a burst appendix by claiming that his appendicitis proves that he is "genetically inferior" and should die already.
I thought I had caught all the typos, but obviously I didn't.]
If the script writers really wanted an episode that explored the need for developing the Prime Directive, they could easily have taken the premise (two sentient species sharing the same planet and civilisation, the technologically dominant species is threatened with extinction by a disease) and twisted it in a variety of more interesting ways:
1) Give the quasi-religious conviction voiced by Phlox and Archer to the Valakians. They are faced with extinction and most of them believe this is their Destiny or the will of their God(s) and that their souls will be reborn in the "primitive but strong" Menk species. A minority of "heretics" disagrees and sends pleas for help into Space in the hopes of attracting an advances alien race.
Phlox comes up with a cure, and Archer has to decide if he wants to intervene, if he has the moral authority to intervene, or even the diplomatic ability to convince these people.
2) The Menk and Valakians are equally intelligent, but for some reason the Menk are still stuck in a bronze age or stone age society... either because the Valakians didn't want to intervene in their social development, or because the Valakians have only recently discovered the region of a far-away continent where the Menk live, or because the Menk tribal elders shun all technology as foreign and fear the danger of assimilation. Contact with the Valakians on the other hand has brought advantages to a few less xenophobic Menk tribes, such as trade, medicine, artificial wells, better nutrition and the idea of peaceful coexistence. But the more xenophobic of the Menk see the Valakian's disease as a divine sign that the Valakians are supposed by divine providence to die out and the Menk are supposed to inherit all their nifty techno toys.
I do not agree with some of the comments here. This episode is certainly not "evil". Archer and Phloxs decision is understandable. They simply can't bear the weight of determining the fate of millions of people.
Archer is right. He is not there to interfere. It's not his place to jugde on who lives and who dies.
Sorry, Jack, but that is nonsense. It's a cowardly excuse. By refusing to help despite being ASKED for help, Archer and Phlox have already made a judgement on who will die. They could have easily refered the decision to their higher-ups or to the Vulcan Science Council, but they didn't. They had a cure, but they decided to hold it back for reasons that are wholly religious and based on ridiculous bogus biology. Legally, that is failure to render assistance, despite there being no risk to themselves!
If you are asked for help by a diabetic woman who desperately needs a shot of insulin, and you have insulin but refuse to give it to her because you think God decided for her to die, or that her underage child is more worthy and would upon her death inherit all her money, and she subsequently dies as a result of your decision, I'm pretty sure that would be considered manslaughter or even murder. And causing a whole race and civilisation to die is genocide.
The Prime Directive, which didn't even exist at this point in time yet, only states that Star Fleet is not supposed to interfere in non-warp cultures which, and this is important, are not aware of the existence of other space-faring cultures Out There. This especially refers to things like intra-cultural wars, that is wars the race is waging among themselves between different nations for example, or to things like natural catastrophes.
Once a race is aware that there are "aliens" out there who can help them, however, Star Fleet is allowed to swoop in and save them with their advanced technology, because it is assumed that cultural contact has already been made.
Archer and Phlox were not asked to interfere in a territorial or cultural dispute or war between the Valakians and the Menk. Phlox was asked to give medical assistance and refused for reasons that do not hold up either scientifically nor ethically, and Archer went along with it.
Archer could have told others about the disease and extinction the Valakians face. As far as I remember, he didn't. Some hero.
After I hit Send on my above comment I realized I had allowed the Archer-apologizers to frame the discussion in a way that narrows it down to a single topic: interference vs non-interference.
Now, while the script writers do their best to pretend that this episode is about the origin of the Prime Directive, it really isn't.
The whole idea of the Prime Directive is about not interfering in the CULTURAL DEVELOPMENT of a LESS technologically advanced species. But as Hecktar stated above: "Cultural contamination is moot since the Valakians had contact with two warp civilization prior to the enterprise."
What Archer and Phlox refused to "interfere" with here is their idea of the BIOLOGICAL "destiny" of the Valakians.
Furthermore, if Archer and Phlox were so determined to *not* interfere with alien cultures, they should have said "Sorry, won't." and warped-speeded away right after their contact with the Valakian representatives asking for their help. But they didn't.
Instead, Archer and Phlox initially promised the Valakians to try and help them. They went down to the planet. They interacted with the natives. Phlox started medical testing. He started working on a cure.
The whole bogus ethical dilemma started only when
1) Phlox announced that the disease is a species-wide genetical plot device.
2) Phlox encounters the Menk (or rather, a few individuums) and immediately makes three dubious claims:
a) That two sentient species cannot peacefully coexist on the same planet without the more technologically advanced wiping out the other one (despite the fact this hasn't obviously happened there), and
b) That the Menk *as a species* are getting more intelligent (compared to what?) because some trained individuums can function on the level of parrots.
c) That the Valakians are meant to die out so that the Menk can fulfill their preordained destiny.
At which point Archer and Phlox declare the Valakians obsolete and interfere on the side of the Menk.
When the episode was over, I remember viciously hoping the reason we had never seen Denobulans in Kirk's time was that the whole species had died out from incest and arrogance.
"This episode stops and listens. It hears. It observes. It has a true understanding of human nature. It has perspectives of a kind that I want to see more of. And it believes in an audience that is interested in the true spirit of Star Trek and exploration rather than selling out in the name of being the hip flavor of the week."
Seriously?
(To those last two posts there will be people who would undoubtedly claim that the Federation wasn't truly aware of any of it happening, but once they found out there as hell wasn't any consequences. They refused to give the cure to the Founders and Worf got off scot-free; not even a reprimand on his record like when he killed Duras. Why? Because they conveniently "needed" the Klingons to help defend themselves. How very interesting...)
NOW I know how they came up with the Prime Directive: Archer and Phlox's genocide covered up by "the moral high road". Thank God they fine-tuned it over the centuries. The Valakians were PEOPLE: They were allowing men, women, even CHILDREN to die as a race. Innocent beings who had done them no harm and were only guilty of conscripting a "genetic disease," whatever the hell THAT is. I'm more than convinced that the main reason Archer came to this ambiguous decision is in part because he wanted the Menk to be free. But Kirk himself said it: "Freedom isn't a gift, it has to be earned."
It's like this: If you saw someone holding a gun to somebody in a back alley and you had a gun to shoot THEM (unlikely, but just hear me out) would you in all good faith (if you were moral like Archer and Phlox claim to be?) not shoot that individual to save the other? Even if you just limited yourself to wounding and not killing? Chrstina highlighted a lot of points I think are pertinent but alas, some will like this, some will hate it. Different views, different opinions.....
So let's view the message given to us by this episode. Essentially this isn't an episode about cultural non interference or giving weapons to some primitive society. It is about giving humanitarian aid to a people who are dying out. Now let's forget the prime directive(which doesn't really excist at this point anyway), let's forget about Phlox-s strange ethical code for just a second. Let's see how this would reflect a decision in the real world.
According this principle we shouldn't give any humanitarian aid to Africa because that would be intervention. So basically we'll let people die of diseases because well their civilization is inferior to ours. By all right they should be fine by themselves and if they're not then it's just evolution running its natural path. Furthermore if let's say in Palestine the Israelites would have a disease which only affected them and the palestinians would be free of it because of some genetic anomaly then we shouldn't give medicine to anybody because well we should just let them die out.
Let's take it even further, the prime directive meant that the federation could not attempt to free Bajor from the cardassian occupation because well their borders were drawn in that way
In the real world - In WWII it would've been "highly immoral" to liberate countries from the nazi regime because well the nazis said their border now runs from here. Basically nazi occupied Europe would've been an internal matter.
Also a derivative of this philosophy would be that the nazis would have had the right to murder millions and declare themselves superior because well they survived and they had guns and they conquered so essentially they would gain the evolutionary right to exist.
Now I truly hope that virtually all star trek fans have problems with such decisions and frame of "morality". Episodes such as "Dear Doctor" and "Homeward" were both written after Gene Roddenberrys death. I do believe that his prime directive was never intended to be something as despicable and vile as the writers have described it to be.
This episode disgusted me completely. The worst thing was that both Archer and Phlox ended in complete agreement of their actions - therefore there was only one conclusion to the viewer this was the absolutely right thing to do and it should be done again at all times. This is the essence of this episode and therefore it can only be concluded that morally speaking it has about as much value as a Hitler's speech
Actually I believe something of the sort happened:
In the early 23rd century a huge asteroid was detected heading towards the denobulan homeworld. Originally the federation planned to just tow it
outout of the way, but then it was discovered that a rather peculiar type of fungi lived on the asteroid. While the denobulans would perish in the fiery cataclysm this fungi would probably thrive in the post apocalyptic denobulan homeworld. Also in 2.5 billion years the fungi could evolve into a sentient being. Therefore the federation just sat there and watched how the asteroid impacted the planet. Ofcourse that was not the end since there were a couple of hundred survivors hiding in bunkers sending out constant distress calls to the federation. Ofcourse the federation let EVOLUTION run its course in accordance with the prime directive and therefore slowly and painfully the denobulans succumbed to the incest and poisonous atmosphere. (The fungus actually evolved into a warrior race of lizardmen 2.5 billion years later therefore giving perfect justification for the obliteration of 20 billion denobulans.)
"I have but just one question to contribute to this debate: What would Archer do were the situations REVERSED? i.e. Humankind has contracted a deadly disease, asked for help from an outside source, and was subsequently turned down for the same reasons?"
Ironically, it WAS reversed in "Observer Effect". Even worse, the Organians actually had some justification for wanting to not intefere, and Archer had no problem begging THEM to help, and accusing THEM of lacking compassion, and that was after just TWO deaths.
I agree with most of the criticism of the ethics but I'll just place my own analogy as I understand it.
So Phlox doesn't want to help the Valakians because that might prevent the Menk from achieving their potential as the dominant species? Is that about right?
He also claims that normaly there is only one dominant species on the planet and that they normaly wipe out all competitors.
So if the Valakians had done that; wiped out the Menk instead, you know, co-existing peacefully with them, then they would have Phlox's cure right about now?
Is that the moral? Is that the message? Idiots should done made sure they were the dominant species first? Is it too late to wipe out the Menk?
Ugh, so angry with this 'moral' episode. What happened, Star Trek?
Apparently it needs to be shouted from the rooftops: Evolution is NOT predestined! It's just what replicating molecules tend do over long periods of time. Genes don't think - they don't decide on some course and then move in that direction. The idea that a species could be "on the verge of an evolutionary breakthrough" is nonsense.
I think Archer and Phlox were wrong, but I still think it was a great episode. I also think Sisko sometimes did the wrong thing in DS9, as did Bartlet in the West Wing, but that didn't make me like and admire these series any the less.
So I'm willing to be more generous to the writers than most of the commenters here. Don't forget there was no prime directive at this time. Maybe the framers of the prime directive reviewed Archer and Phlox's actions in this episode and found them as wrong as the majority of us have. So they drafted the prime directive in such a way that it allowed assistance to be given to cultures who were in this position. Who knows, maybe they went back to the Valakians and gave them the cure at the same time.
I have to admit that immediately after viewing, I felt for the first time I had seen something interesting on Star Trek Enterprise and and was satisfied with the experience. Better yet, despite I recognized Archer's final decision was questionable, it rang somewhat "right" for me. After all, I saw it no different (or at least, very similar) to the would-be Prime Directive adopted by StarFleet years later in the Trek chronology.
After reading some of the comments above (and the episode review on sfdebris.com), I was forced to re-evaluate.
Let me first say that the question of moral validity of the Prime Directive isn't an easy one. More often than not the Directive is presented to us through a "Nation 1 vs. Nation 2" war-conflict on a foreign planet. The question then becomes "what right does humanity (or at large, the United Federation of Planets) have to interfere and aid one nation over the other, particularly by giving them advanced technology that would turn the tide of war?". Non-action in this case can justifiably be the logical, easy choice, at any rate far easier than the situation presented to us in this Enterprise episode. "Dear Doctor" is a perfect example of just how controversial the Prime Directive can be.
I feel sufficient evidence has been presented before me to argue the case one way or the other (particularly the *against* side). So I will state my opinion briefly: the minute Archer & Phlox had a cure in their possession, it was a moral OBLIGATION for them to provide help to the Valakians. Not only because they had requested it, but because as a doctor Phlox was required by the Hippocratic Oath to do so. I will also add that after making contact with a technologically-inferior species, it seems to me the humans (i.e. StarFleet) from that point on, had the *responsibility* to be involved in their progress. Similarly I suppose, the way the Vulcans had stayed on Earth to monitor (many characters in this series would say "spy") the progress of humanity. But I digress.
All in all, I can see what the writers were trying to do here. In many ways, the attempt can be lauded: this episode was designed to explore the future-Prime Directive on one end, but also to parallel the degree of involvement between Humans-Valakians to that of Vulcans-Humans back on Earth. The regret, is that the way it was carried out was less than graceful. Previous Trek shows have dealt with Prime Directive issues far more successfully, at the very least keeping the moral ambiguity high enough to prevent viewer outrage reaching the levels of *this* episode. A commendable venture, but an awkward result in retrospect.
To Archer & Phlox's (and by extension, the writers') defense, I will add two key factors some readers might be forgetting.
1) The choice to withold the cure from the Valakians isn't an *immediate* act of genocide. Dr. Phlox said it would take the mutation / disease 200 years to wipe out the species.
2) Archer & Phlox are hoping that during this time, the Valakians will find a cure to the disease on their own.
In this light comparing Phlox to Hitler, as some readers suggested, is a bit exaggerated. Not throwing someone a life preserver (in the hope they will reach shore on their own) and actively pushing them off the boat with cement shoes, well that's not exactly the same thing.
It'd have perhaps been better (certainly I think, generated less controversy), if Archer had left a probe or some kind of monitoring device on the planet, with the intent to come back and help the Valakians in the future should they still not have reached a cure when close to extinction. But I guess that would not have fit the philosophy Archer & Phlox had chosen to adopt for this episode, as flawed as it might be.
One story I wish Enterprise had done was one where they DO interfere. They go to a pre-warp planet and introduce themselves and offer to share all their technology. And then you could see all the horrible consequences these actions would have on the planet... which years later would incite the Federation to adopt the Prime Directive. That story arc would have been far more original than another "aliens want to destroy Earth" scenario.
In this episode, Archer & Phlox have no personal gain at stake: they act out of principle. The fact that this very principle is flawed is what makes this episode so controversial.
An another note, I have now almost finished viewing season 1. The positive side one can take from "Dear Doctor" is that it is by far, the most thought-provoking of the season, which has otherwise been very mediocre. I'd even be willing to bet, alas, the rest of the series will be more of the same.
But the theme misrepresents 'evolution' and its moral implications. Evolution describes how changes take place over time. It is not a thing to be 'helped' or 'let alone.' It contains no moral guidance for us. It is merely a decscription.
Letting the people die of a disease is as much an interference in fate as helping them live. The doctor and Archer misunderstand the nature of fate. They were already involved. They had a cure. The prime directive does not allow humans to behave cruelly.
Besides, Archer seems to have little problem 'interfering' with cultures in other episodes. Every planetary visit, every contact with a ship, every subspace transmission inadvertently picked up - it's all interference to some degree.
It's not even an issue with room for opinion. Humans are moral creatures. Our morality, whatever that is, guides our behavior. Either it is right to help people or it is right to let them die. One or the other. Hiding behind a 'prime directive' doesn't avoid the choice. it just clouds your mind.
Besides, if the Prime Directive were so prime it wouldn't even allow for space exploration at all. In fact, it would demand that we blow up Earth for fear that some distant world world look at us through a telescope and have their culture affected.
Were it real, this is the kind of thing that would come to haunt the doctor and Archer later in life.
This episode is not 'contraversial.' It is offensive. This issue is not debatable. There are not two sides. You either understand it or need to see it.
You are human. Yes, you can go through life thinking all morality is relative, but since it isn't you will never act that way. You will just be unware of your motives. And corrupted over and over again, like Archer was here.
You don't even need to believe in some 'God' to see this.
In all three cases I highly agree with the actions that the episodes ultimately took, even though those outcomes were in some ways opposite. Bringing back Tuvok and Neelix was a restoration to the natural state...and both were entitled to that restoration. So too was the Valakian "extinction". I'm curious...all the people calling Phlox's act evil - would he still be evil if he had been unable to create a "cure"? Just because you can do a thing does not mean that you should do a thing.
"Shadows of P'Jem"? Not so much.
BTW, the decision made by Archer was the right one.
And speaking of complaining, this episode killed all interest I had in this show. Others before me have already given reasons for this - the idiotic misinterpretation of the theory of evolution and the morally appalling decision based on it.
Phlonx just KNOWS that the Menks are evolving to replace the Valakian civilisation. The Valakians are simply in the way of this grand natural plan (that Phlonx just made up) and should just stop resisting and die. So our "heroes" are withholding the cure that would save millions for the sake of the possibility that another civilisation might replace them after they are all dead. WTF?!
When I was watching this nightmare I kept hoping that T'Pol or maybe somebody else with a shred of intelligence in their brains would put a stop to this insanity by delivering a verbal (and maybe physical as well) smack-down on the "dear doctor" for his ignorance and the captain for even considering his opinion and not firing him on the spot. No such luck.
@Paul Smith
Ah, the good old ad hominem. That will show everyone just how wrong their arguments are.
How is "not curing a disease" of a pre-warp civilisation any more immoral than any other example of Prime Directive non-interference that has been portrayed over the course of all the other series?
Surely, according to the Prime Directive, Archer shouldn't have been agreeing to help with this disease at all in the first place - but only did in this case because there is no prime directive yet, and the humans are still so all-fired annoyed at the Vulcans for holding US back "for no good reason" for the last 90 years.
Archer goes into this with a "no WAY we're going to behave like those stuffy Vulcans" attitude. He ends it with an appreciation of why some of those rules exist, even if it is difficult to understand the reasons for them.
I think Archer made the right decision here, too - and don't start telling ME that's because *I* don't understand how evolution works either.
If Phlox had no business presenting his philosophical and scientific assessment of the situation, then surely he had no business curing the affliction in the first place.
How does Phlox know that Menk are ever going to evolve to replace the Valakians? What, did he see it in his crystal ball? Because theory of evolution sure as hell doesn't say that. For all he knows, Menk are also going to die out when Valakians are no longer around - certainly many of them will once there is nobody to take care of them. But Phlonx just handwaves it all as inevitable and is so sure he is fine with letting Valakians die. Christina's analogy with a diabetic is right on the money here - this is genocide. For the sake of an imagined future civilisation that exists only in his head he is letting millions of very real people die now. And this guy is supposed to be a doctor?!
I've never liked this aspect of the PD in the first place (ISTR the "this culture is dying but we should let them" has been done in at least TNG) but it was always just a stated fact that we were to accept, that at one stage in the past they learned A Great Lesson that scarred Starfleet for centuries to come and made sure they never want to interfere with the evolution of pre-warp cultures for as long as they remember whatever incident it was.
We were never shown this incident, but I always just kind of accepted that "Something Happened" and that the PD "Exists For A Reason."
So that's what I would've expected from Enterprise: show us exactly this incident. Show us WHY Starfleet decided that "interfering" in this way is an Extremely Bad Thing. Archer's initial response was spot-on, but for no apparent reason he does a 180 and agrees with this supposed scientific morality. If helping out a dying species will cause the universe to end, conjure up a plausible reason for it and show us - that way at least it becomes a genuine understandable tragedy of "we'd love to save these people but the universe will implode so we have to let them die".
Instead we just get Archer accepting what Phlox and T'Pol say and believing them unquestioningly. ("We're not out here to play God" he says to justify it to himself. Eh? Playing God would be creating, altering and destroying life via means other than reproduction like they do willy nilly in the 24th century with sentient holograms - saving lives isn't Playing God). I guess this shows a glimmer of maturity in his relationship with those with more experience than him (at last) but one of them needs to explain to him (and therefore the audience) why their equivalent of the PD came to be. Otherwise why should he just accept it?
It's a poorly executed attempt at trying to show us a pre-PD dilemma without explaining why such a callous directive came to be and doesn't do the Trek philosophy any favours at all. Instead of answering the question, it just makes the Prime Directive (at least this aspect of it; I understand the non-interference in conflict or culture) look even more pointless and callous than it did before!
(That said, I don't see it as "murder" or "genocide". They're not killing these people, they're just not saving them - it's still wrong, but it's different.)
When it comes to diversity and unity, Trek has always wanted to have its cake and eat it too; the similarities inevitably matter more than the differences. That’s fine – it’s a hopeful message, and since so much of televised science fiction essentially functions as comfort food, that approach makes sense. After all, it’s insanely difficult to try to understand and restate the thought processes of a non-human mind, whether it’s a fictional alien or a culture’s chosen divinity.
But I’d submit that Trek loses something when it does this, even though it positively influenced my attitudes towards the Other as a child. (I will always be grateful for that.) At its core, the people we see on the screen are supposed to be explorers. In the best cases, we’d learn something new from the screen, or at least be challenged by it. When the “human perspective” consistently wins the day – when it, in fact, never loses – Trek begins preaching to the choir.
We understand how humans are supposed to react to the Valakians’ plight. As Phlox states, baldly and repeatedly, we have an obsession with helping those in need – particularly if, in a neat twist, we can convince ourselves we’re superior to them.
This, along with one other thread, is the tie that binds the episode together. Archer “anthropomorphizes” Porthos, something that flummoxes Phlox. Tucker’s moved to tears by the plights of fictional characters, sympathizing with them despite his powerlessness (how could he change what’s been written?). Cutler criticizes the Valakian/Menk sociological structure not on the basis of whether it “works” (which is Phlox’s primary criterion), but whether it’s “right” (a moralistic viewpoint, with moralism equated with humanity repeatedly during the episode). And that moralism isn’t even consistent: she chooses to evaluate the Valakians’ behavior from an anthrocentric perspective, but barely raises an eyebrow over Phlox’s complicated marital situation because, well, he’s Denobulan, and they’re different.
That difference is that aforementioned other tie binding the episode together: Phlox’s sheer alienness. To us, he seems jovial, knowledgeable, and kind. But that’s our anthrocentric (ugh, I’ve used that word twice) bias creeping in. In actuality, Phlox sees the world in a fundamentally separate way from the rest of us. That’s why he’s writing to his Counterpart in No Man’s Land, the single human living amongst the Denobulans. Both men are in situations where most of what goes on around them is kind of recognizable while still being kind of baffling.
This is why we get the sequence where Phlox is confused by Porthos, confused by the movie, and confused by Cutler’s advances: he reacts differently from us to the same stimuli.
So Archer states that every principle he holds dear demands that he help the Valakians – indeed, that compassion guides his judgment, not blinds it. I imagine those who were most offended by Phlox’s “misunderstanding of evolution,” as I’ve seen it phrased elsewhere (because God forbid an alien see the same thing differently), stood and cheered. And for Phlox to be unmoved by compassion, to be “unmoved” by these people’s plight…well, that means he’s a monster.
But the episode very clearly shows that Phlox feels, if not exactly identically to Archer, something very close to his level of sympathy for the Valakians. The difference between the two men lies not in their feelings, but in the degree to which they allow those feelings to guide their judgment. Phlox ISN’T an unfeeling monster: he feels.
Instead, the doctor essentially argues that, by helping the Valakians, we’d be interfering in something that we perhaps shouldn’t be messing with. Think back to Tucker’s tears in that movie theatre. If we gave him editing control in mid-movie, let him change the script and re-shoot the scenes, it might have a happier ending. He’s also savaging the movie’s integrity and fundamentally changing “the way it was supposed to be.” (This would have been more interesting if Enterprise had ever figured out what to do with the Temporal Cold War and its focus on altering vs. restoring timelines, but I digress.)
Phlox’s argument is that nature has been writing and composing the Valakians’ extinction for thousands of years, repeating the same pattern that’s taken hold on thousands of other worlds that weren’t subjected to outside interference (even in the name of compassion). In those places – alluded to throughout the episode – coexistence doesn’t work for whatever reason, and the end result is that one humanoid race ultimately reigns supreme, not two.
Archer’s objection – OUR objection – is to say, “Well, if that’s what nature’s written, then it’s a damn good thing the universe gave us editing powers.” And indeed, we believe – many have passionately argued – that to voluntarily withhold one’s editing powers, one’s ability to assist, is tantamount to committing the atrocity itself.
That is how we see it. That’s how we’re SUPPOSED to see it. That’s how years of civilization have conditioned us to react.
But Phlox isn’t conditioned that way. His thoughts seem nonsensical or illogical to many, as they should – he’s not human. So he says that we shouldn’t interfere.
That’s the point of the episode, if I may speak for the authors: to see the universe filtered through a decidedly inhuman mindset, to have our willingness to invest emotion in others (at least to the degree that we allow that empathy and consideration for the needs of others to dictate our decisions) questioned.
The point is NOT to be the “first Prime Directive story.” Yes, Archer makes an allusion to the future creation of the Directive. But T’Pol points out that the Valakians have made first contact with warp-capable species. In fact, the story neatly decouples noninterference from the far more baggage-ridden Directive, and chooses to use that ideal – one we’d surely struggle with were we ever forced to abide by it – as a mirror to use for questioning the nature and justification for our ideologies and thought processes.
So yes, you can be offended by the episode’s conclusion. In fact, you’re supposed to be: the human rationale didn’t carry the day, and there’s really no way for us to cope with that.
But since the episode set out to be a show in which alien mindsets and opinions weren’t immediately dismissed (as poor T’Pol is throughout the first twelve episodes) or reshaped into something that reflects humanity’s versions of the same things, I can’t understand why people are giving it zeros, let alone saying it’s the worst episode of all time.
“It offends me!” Yeah. And? Was the acting bad? The score unimpressive? The characterization insincere? (That’s kind of a big deal, but “Dear Doctor” is relentlessly true to its characters even as it allows them, in Archer’s case, to change a bit.)
To the point that one can make objective statements about art, I don’t believe one can objectively say any of those things. By television’s standards, the acting, score, and characterization are good, fine, or excellent – take your pick, but they’re not bad. The makeup design is perhaps a bit bland, and maybe the CGed city is showing its age, but we all know that’s not why people freaked out over the episode.
People reacted as they did because the writers went looking for ways to freak them out by allowing an inhuman mindset to carry the day. Even though that’s a difficult thing to convincingly write, they did it: the prevailing reaction was that Phlox’s conclusion was inhuman, was offensive.
Those people who share that reaction are the ones who should be giving this show high praise. I can’t think of another episode – not “A Matter of Honor,” “Darmok,” “The Inner Light,” or too many DS9 eps to count – where Trek more convincingly explored how an alien would approach existence, let alone existence’s grayer areas.
Thus I can say something I rarely say: the conclusion bothered me, and in doing so earned my respect.
Phlox might have this crude, almost religious view on evolution, where you cannot interfere in nature even if someone begs you for help. But Archer would have to overrule Phlox on this one, and if the cost is losing Phlox as the ship's doctor, than this is a small price to pay.
If this is truly part of the morality Phlox lives by, he is not fit to serve in Starfleet anyway. By the same reasoning he could deny mankind a cure for a deadly disease in the future, because we hinder the evolution of chimpanzees. Hello Planet of the Apes.
Maybe I'm being naive and simplistic, but my perspective on the situation is thus: Somebody is sick, I have a cure, I cure the sick. End of story.
What the "doctor" did and was supported by the "captain" in doing is unconscionable and, in some jurisdictions, actually illegal.
Archer himself said it, and I paraphrase: Every time you help somebody who is sick you are interfering with nature, i.e. evolution. I cannot see how that, entirely correct, view has been disannulled by the present circumstances. Should a bully not have his/her cancer treated? Should the Tutsi tribe of Rwanda be denied cure for AIDS?
Not giving them warp technology is one thing, and perfectly justifiable, but this is an outrage. And for the two to be cast as some sort of morally-superior benefactors causes a really uneasy feeling in me toward Star Trek.
Having said all that, this IS a good, intriguing show. It might not merit four stars but three, yes.
By the way, according to Memory Alpha, we have UPN to blame for Archer agreeing with Phlox. The original script had Phlox disobeying Archer's orders to give them the cure.
If your conclusions lead to genocide, I'd say that's a crystal clear sign that you screwed up somewhere down the line.