Upon arriving in Portland, the protagonist, Wilbur Larch, brought with him a firm belief grounded in his experience as an obstetrician. He dedicated his life to helping bring new life into the world, a role his peers often referred to as divine in nature. However, Larch's practice also included performing abortions, a practice that his colleagues condemned as malevolent. This stark contrast in perception highlights the complexities and moral dilemmas faced by medical professionals in their life-saving decisions.

Larch's perspective diverges from traditional views, as he maintains that both bringing babies into the world and performing abortions are crucial acts, ultimately guided by a higher purpose. This sentiment is echoed in Mrs. Maxwell's observation that true doctors possess a generous and expansive spirit. Through Larch's journey, the narrative explores the ethical intricacies of medicine and the profound compassion required to navigate such challenging scenarios, emphasizing the multifaceted nature of life and care.