Abstract
Ivan Illich's attack on modern medicine, Medical Nemesis, appeared in 1974. The book famously opened with the statement: ‘The medical establishment has become a major threat to health.’ Forty years after its publication, this paper examines the major themes of the book, and asks whether events since its publication have added weight to Illich's thesis.
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References
1.
Hartch
T
. The Prophet of Cuernavaca: Ivan Illich and the Crisis of the West Oxford : Oxford University Press , 2015 .
2.
Obituary
. Ivan Illich . J Epidemiol Community Health 2003 ; 57 : 923 –4 .
3.
Levin
L
. Ivan Illich . J Epidemiol Community Health 2003 ; 57 :925 .
4.
Daniels
A
. Ivan Illich, 1926–2002 . The New Criterion January 2003 ; 21 : 78 –81 .
5.
Illich
I
. Medical Nemesis London : Calder & Boyars , 1974 .
6.
Illich
I
. Limits to Medicine. Medical Nemesis: The Expropriation of Health London : Marion Boyars , 1976 .
7.
Bynum
B
. The McKeown thesis . Lancet 2008 ; 371 : 644 –5 .
8.
Rhodes
P
. Indictment of Medical Care . BMJ 1974 ; 4 : 576 –7 .
9.
Discombe
G
. A Romantic Enthusiast . BMJ 1974 ; 4 : 574 –6 .
10.
Paton
A
. ‘Medicalization’ of Health . BMJ 1974 ; 4 : 573 –4 .
11.
Bradshaw
JS
. Medical Nemesis . BMJ 1975 ; 1 :94 .
12.
Horrobin
D
. Medical Hubris. A Reply to Ivan Illich Montreal : Eden Press , 1977 .
13.
Gawande
A
. Complications London : Profile Books , 2002 .
14.
Ariès
P
. (Translated by Helen Weaver) The Hour of our Death . New York : Alfred A. Knopf , 1981 .
15.
Leibovici
L
,
Lièvre
M
. Medicalisation: peering from inside medicine . BMJ 2002 ; 324 :866 .
16.
Sullivan
R
,
Peppercorn
J
,
Sikora
K
Delivering affordable cancer care in high-income countries . Lancet Oncol 2011 ; 12 : 933 –80 . http://dx.doi.org/10.1016/S1470-2045(11)70141-3
17.
Gawande
A
. The Cost Conundrum . The New Yorker 1 June 2009 . http://www.newyorker.com/magazine/2009/06/01/the-cost-conundrum (accessed 4/4/16).
18.
Zuger
A
. For the Very Old, a Dose of ‘Slow Medicine’ . The New York Times 26 February 2008 . http://www.nytimes.com/2008/02/26/health/views/26books.html?_r=0 (accessed 4/4/16).
19.
Moynihan
R
,
Smith
R
. Too much medicine? Almost certainly . BMJ 2002 ; 324 :859 . http://dx.doi.org/10.1136/bmj.324.7342.859
20.
Getz
L
,
Kirkengen
AL
,
Hetlevik
I
Ethical dilemmas arising from implementation of the European guidelines on cardiovascular disease prevention in clinical practice . Scand J Prim Health Care 2004 ; 22 : 202 –8 .
21.
Heath
I
. Combating disease mongering: daunting but nonetheless essential . PLoS Medicine 2006 ; 3 :e146 . http://dx.doi.org/10.1371/journal.pmed.0030146
22.
Bradshaw
JS
. Doctors on Trial London : Wildwood House , 1978 .
23.
Smith
R
. Limits to medicine. Medical nemesis: the expropriation of health . J Epidemiol Community Health 2003 ; 57 :928 .
24.
Smith
R
. The case for slow medicine . BMJ blogs . http://blogs.bmj.com/bmj/2012/12/17/richard-smith-the-case-for-slow-medicine (accessed 4/4/16).
25.