In his Medical Nemesis, first published in 1975, also known as Limits to Medicine, Illich subjected contemporary Western medicine to detailed attack. He argued that the medicalization in recent decades of so many of life's vicissitudes—birth and death, for example—frequently caused more harm than good and rendered many people in effect lifelong patients. He marshalled a body of statistics to show what he considered the shocking extent of post-operative side-effects and drug-induced illness in advanced industrial society. He introduced to a wider public the notion of iatrogenic disease which had been scientifically established a century earlier by British nurse Florence Nightingale (1820–1910). Others have since voiced similar views, but none so trenchantly, perhaps, as Illich.
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