Medical nemesis: The expropriation of health

The health professions--embodied as profiteers priests & kings--are the target for this polemic. An overindustrialized society has led to the multiplication of medical specialists a Cartesian belief in the body-as-machine & the hubris which elevates the art of healing into a science. The result is a counterproductive overmedicalization Illich spells this out in terms of "iatrogenesis"--doctor-caused disease. This can be clinical in terms of faulty diagnosis & treatment; societal in terms of policies & laws which distribute funds & determine whos healthy whos not; & cultural in terms of beliefs & values which undermine individual freedom & responsibility. Such a system creates fear multiplies pain (hence the demand for drugs) encourages custodial care & deprives the individual of decision-making powers. Instead of learning from pain of caring & sharing of actively participating in self healing the patient becomes a passive consumer taught to demand health services from cradle to grave. This is the ultimate expropriation of health: the medical nemesis of unhealth is the inexorable consequence. Illich does not single out individuals for criticism but speaks in broader terms of the imbalance of industrial society. He doesnt deny the advances in medicine nor does he propose simple solutions. His final chapter on alternatives shows how not to go about reform. The time is right for such a critique. Tho the health professions will protest there is such power & documentation in these arguments that even those most involved may see the point.--Kirkus (edited)