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Criticism
Criticism of medicine has a long history. In the Middle Ages, it
was not considered a profession suitable for Christians, as disease
was considered Godsent, and interfering with the process a form
of blasphemy. Barber-surgeons generally had a bad reputation that
was not to improve until the development of academic surgery as
a speciality of medicine, rather than an accessory field.
Through the course of the twentieth century, doctors
focused increasingly on the technology that was enabling them to
make dramatic improvements in patients' health. The ensuing development
of a more mechanistic, detached practice, with the perception of
an attendent loss of patient-focused care led to further criticisms.
This issue started to reach collective professional consciousness
in the 1970s and the profession had begun to respond by the 1980s
and 1990s.
Perhaps the most devastating criticism of modern medicine
came from Ivan Illich, in his 1976 work Medical Nemesis. In his
view, modern medicine only medicalises disease, causing loss of
health and wellness, while generally failing to restore health by
eliminating disease. The human being thus becomes a lifelong patient.
Other less radical philosophers have voiced similar views, but none
were as virulent as Illich. (Another example can be found in Technopoly:
The Surrender of Culture to Technology by Neil Postman, 1992, which
criticises overreliance on technological means in medicine.)
Criticism of modern medicine has led to some improvements
in the curricula of medical schools, which now teach students systematically
on medical ethics, holistic approaches to medicine, the biopsychosocial
model and similar concepts.
The inability of modern medicine to properly address
many common complaints continues to prompt many people to seek support
from alternative medicine. Although most alternative approaches
lack scientific validation, some report improvement of symptoms
after obtaining alternative therapies. The bioscience medical paradigm
and the alternative / complementary healthcare paradigms may differ
to such an extent that what constitutes or scientific evidence is
contested. It is frequently overlooked that many medical doctors
also practise complementaty medicine alongside the orthodox.
Medical errors are also the focus of many complaints
and negative coverage. Practitioners of human factors engineering
believe that there is much that medicine may usefully gain by emulating
concepts in aviation safety, where it was long ago realized that
it is dangerous to place too much responsibility on one "superhuman"
individual and expect him or her not to make errors. Reporting systems
and checking mechanisms are becoming more common in identifying
sources of error and improving practice.
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