The quote from Patrick O'Brian's "The Surgeon's Mate" highlights a deep reflection on human existence and the societal constructs that define it. It suggests that if individuals were to truly contemplate their situation, they would recognize the prevalence of suffering and violence in the world, with institutions like prisons and militaries being commonplace. This awareness might alter their perception of life and contribute to a realization of the burdens it carries.

O'Brian's words draw attention to the cyclical nature of suffering and the potential for individuals to become burdensome not only to themselves but also to others. He questions whether many would remain indifferent to the grim realities around them, emphasizing the importance of self-reflection and societal responsibility. Ultimately, the passage invites readers to consider the impact of their existence within a troubled world.