The closest I ever came to a religious experience was listening to Ivan Illich. it or not). I devoured both Medical Nemesis and Limits to Medicine,† and now . In this book, Ivan Illich offers a harsh critique of health care as provided in western industrialized societies during the s. However, he did. This is the opening statement and basic contention of Ivan Illich’s searing social critique. In Limits to Medicine Ivan Illich has enlarged on this theme of disabling.

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Dec 21, Martino rated it really liked it.

Limits to Medicine : Medical Nemesis – The Expropriation of Health

We have paid for this irrational expectation with our autonomy, our dignity and our ability to endure. The diseases of aging like most cancers and dementia will most likely never be cured. Medicine is no longer confined to the alleviation of suffering, but now involves llimits life-time of scrutiny, with checks and screening from cradle to grave. However, he did not write this book as a health care expert. Nov 20, Titik Musyarofah rated it it was amazing.

Limits to Medicine–Medical Nemesis: The Expropriation of Health

To see what your friends thought of this book, please sign up. I am glad you think that psychiatrists are fully aware of the risks meficine benefits of antipsychotics, and discuss these with their patients.

We use cookies to give you the mediciine possible experience. I can’t believe this is over 40 years old. Leave a Reply Cancel reply Enter your comment here There is so much in this book that gets right to the heart of the problem we face.

Limits to Medicine: Medical Nemesis: The Expropriation of Health

We buy our health like our food – fast, fake and unfulfilling. Clinical iatrogenesis is the harm done to people as the result of actions taken to restore health or prevent illness, such as an adverse drug event, a hospital-acquired infection, or perforated bowel from a screening colonoscopy.


Reading this as a medical student it made the most perfect lucid sense. I fully recognise that there are situations in which drug treatment is helpful, and in which people can make informed and rational decisions about the risks and benefits. Oct 03, Mike Beranek rated it it was amazing.

Mark rated it it was amazing Apr 18, But I soon started to hear concerns about the direction of medicine. Many of the most useful, such as vaccination, are relatively simple and can be administered without too much interference.

Here at the beginning he lays out the criticism of our health-care system: Success in this personal task is in large part the result of the self-awareness, self-discipline, and inner resources by which each person regulates his own daily rhythm and actions”.

There are a few dry, statistics-heavy sections in the book. The final test is this: Then again, much of what he is saying is not measurable, like the loss of autonomy of the individual to cope with what life has dealt them. It’s good that you apply your skepticism to books that favor your own bias. Would liked to have spent time with Illich in Mexico. It changed the way I think about global health and public health.

He felt that more expensive and specialised medicine was more likely to be harmful and less effective, and that important aspects of the life experience such as birth, mating, suffering, aging and dying were being medicalized.

He was trained as a medieval historian and philosopher, and taught the history of friendship and the history of the art of suffering.


Sialnya, kita orang awan yang jadi pasien, hanya bisa pasrah karena legitimasi dokter dan aparatur medis lain seperti pedagang obat begitu kuat. I recall Susan Sontag criticised him for personal hypocrisy, having accepted advanced medicine facing cancer, but, well, what would you do!?

The whole biology of the human being was laid before us, including the cadaver of some poor soul who had donated their body to medical science. Before the social movements and transformations produced standardized health care, people of various cultures coped and adjusted in their own ways to the suffering they experienced.

Oct 08, Megan rated it really liked it Shelves: At the time, the early nineties, he has a pronounced tumor on his neck for which, I was told, he had received no treatment. As much as this would be a nice thing, I don’t see it as realistic in the light of human nature that tends to prefer hierarchies to equity.

Something we have certainly learned in the last years. Illich was a remarkable man, an academic and onetime priest, who lived according to his principles, and refused treatment for the cancer that eventually killed him. Keep up the good work, Joanna.

In dissection classes we traced the anatomy of the arm, leg and torso in minute detail, and in other lectures we acquired a meticulous understanding of the cellular structure, physiology and biochemistry of the body. Mass media and the internet facilitate the adoption of easy slogans.