A tragic case where my former employer induced severe iatrogenic harm by forcing triple vaccination on a patient who did not want or need the shots. When will we recognize that top-down managerial, industrialized medicine cannot help but induce more harm than healing?
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Further increases in medical controls are not the answer to our ills, for this will only worsen iatrogenic harms. We cannot allow the whole world to become one vast hospital—a recipe not for health but for a dystopian totalitarian system run by and elite cadre of physician-therapists in white coats, where anesthetized patients become solitary, passive, and impotent.
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Many patients today, sadly, already experience this state of helpless unfreedom—what Illich calls “compulsory survival in a planned and engineered hell” —where one’s sickness only grows worse. The solution to our health woes will require empowering individuals and small communities with the tools necessary not only to heal, but also to cope with the inevitabilities of pain, impairment, and eventual death. Dependence on and addiction to a broken managerialized system will only make us sicker.
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Many patients today, sadly, already experience this state of helpless unfreedom—what Illich calls “compulsory survival in a planned and engineered hell” —where one’s sickness only grows worse. The solution to our health woes will require empowering individuals and small communities with the tools necessary not only to heal, but also to cope with the inevitabilities of pain, impairment, and eventual death. Dependence on and addiction to a broken managerialized system will only make us sicker.
Join @AaronKheriaty
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Markets, communications, and governing structures within medicine have become increasingly centralized at a national and global level, robbing individuals, families, and local communities of legitimate authority, privacy, and medical freedom. Thus, new medical institutions should be grounded in technologies and models of decentralized communications and information sharing, dispersed authority, and localized markets. To name just one example among many, subscription-based models of direct primary care, which bypass Medicare and other third-party payers, are springing up around the country and in many cases proving financially viable—delivering better health outcomes at lower costs by eliminating the expensive and superfluous bureaucratic middlemen.
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Ivan Illich: “In a consumer society there are inevitably two kinds of slaves: prisoners of addiction and prisoners of envy.”
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