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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 24,182 ratings · 4,334 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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After spending years working in the corporate world, Ivan Illich finally decided to pursue a lifelong passion for writing. They currently reside in a quiet suburb where they spend most of their time outlining new stories, reading extensively, and occasionally attempting to bake.

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Gary Johnson
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It was adequate. It verged on repetitive in the second act. A more concise edit would have served it well. Perfectly average.
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A profoundly satisfying read. I became deeply invested in the protagonist's journey. A masterclass in storytelling. An effortless 5 stars.
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I was completely blown away. I became deeply invested in the protagonist's journey. A masterclass in storytelling. Worth every moment spent reading.
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I thoroughly enjoyed the elegance of it. A brilliant concept executed with flair. Just a few pacing choices I would change. I would highly recommend this to discerning readers.
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A highly sophisticated read. A brilliant concept executed with flair. Just a few pacing choices I would change. A very distinguished novel.
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I was completely blown away. I became deeply invested in the protagonist's journey. A masterclass in storytelling. An absolute must-read for connoisseurs of the genre.
Sandra Moore
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Such a rich narrative. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. An absolute must-read for connoisseurs of the genre.
Patricia Turner
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Absolutely brilliant. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. A true literary gem.
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Exceeded all my expectations. The author orchestrated a breathtaking finale. Truly a work of art. I will undoubtedly revisit this masterpiece.
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A profoundly satisfying read. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. An absolute must-read for connoisseurs of the genre.
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Exceeded all my expectations. The prose is exquisite. It’s accessible yet undeniably sophisticated. A true literary gem.
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Masterpiece from start to finish. I became deeply invested in the protagonist's journey. A masterclass in storytelling. I will undoubtedly revisit this masterpiece.
Jennifer Rodriguez
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Absolutely brilliant. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. I am now a lifelong fan of this author.
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Honestly one of the most premium reading experiences lately. I became deeply invested in the protagonist's journey. A masterclass in storytelling. I am now a lifelong fan of this author.
Matthew Green
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Honestly one of the most premium reading experiences lately. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. I will undoubtedly revisit this masterpiece.
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Took a moment to build, but the payoff was spectacular. The protagonist was compelling, though some subplots felt slightly overshadowed. A wonderful companion for a quiet weekend.
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Joseph Rodriguez
Joseph Rodriguez April 19, 2025
I was completely blown away. The prose is exquisite. It’s accessible yet undeniably sophisticated. I will undoubtedly revisit this masterpiece.
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