Dalrymple doesn't want to live in a world without Falstaffs, criminals, fatty foods, messiness, alcohol, smokers, and trailer trash - a too-sterile world of "rational tyranny" and perfect post-Puritan morality. I agree. One quote:
When I read the medical journals these days, I feel I am reading the medical equivalent of Ella Wheeler Wilcox. They speak only the best of good sense (one doesn’t argue with a poem by Ella Wheeler Wilcox). They tell us how we, or rather they, that is to say the general public, ought to live. Not too fat, a certain amount of exercise, no smoking, drinking in moderation of the right kind of wine taken purely as a medicine to ward of heart attacks and strokes, in short, every activity and comestible to be treated as a medicine to be taken in the correct dose.
It is not easy to argue against this rationalistic tyranny, just as it is not easy to answer a puritan without sounding as if you are positively in favour of sin, the more of it the better. No doubt properly conducted studies have shown precisely how much alcohol one should take to achieve the greatest possible longevity; or if they have not been conducted yet, they will be conducted in the very near future. Science will establish precisely how much butter one is allowed per week. Epidemiology will hunt down all the dangers lurking in our habits. From this, prohibitions and imperative duties will inevitably follow. It is only natural, after all, that doctors should advocate whatever saves and prolongs life.
Read the whole excellent thing.