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Limits to Medicine: Medical Nemesis: The Expropriation of Health

Limits to Medicine: Medical Nemesis, the Expropriation of Health

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Limits to Medicine: Medical Nemesis: The Expropriation of Health

Limits to Medicine: Medical Nemesis, the Expropriation of Health

4.85 57,601 ratings · 8,496 reviews
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Overview: 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 who's healthy, who's 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 doesn't 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)

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Published December 12, 1974
ISBN 64713
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Ivan Illich
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Ivan Illich
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Ivan Illich is the author of several novels. Originally from the East Coast, they now live in the Midwest with family. In addition to writing, Ivan Illich enjoys gardening, cooking, and reading way past bedtime. Their work often explores the complexities of everyday life and human relationships.

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Lisa Roberts September 25, 2025
Absolutely brilliant. The author orchestrated a breathtaking finale. Truly a work of art. An absolute must-read for connoisseurs of the genre.
Nicholas Anderson
Nicholas Anderson June 22, 2024
I was completely blown away. The author orchestrated a breathtaking finale. Truly a work of art. I am now a lifelong fan of this author.
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