This book was profoundly useful, giving me a set of extraordinarily helpful lenses to better understand both the modern medical/healthcare industry, but also to better understand modernity itself. Although this book is primarily about healthcare, it is also prescient in identifying many of the alienating and atomizing aspects of modern civilization. This book may have been written in the early 1970s, but the author was decades ahead of his time. One of the foundational concepts of this book is iatrogenesis, which essentially means “harm done by the healer.” I was first exposed to this word thanks to Nassim Taleb in his book Antifragile . In Medical Nemesis , Ivan Illich begins with a discussion of medical iatrogenics in the most basic sense, but then expands the concept into far broader terms, discussing three genres of iatrogenesis: 1) clinical iatrogenesis, 2) social iatrogenesis, and 3) cultural iatrogenesis: 1) Clinical iatrogenesis is the “plain vanilla form” of iatrogenesis: da
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