The medicalization of early diagnosis not only hampers and discourages preventative health-care but it also trains the patient-to-be to function in the meantime as an acolyte to his doctor. He learns to depend on the physician in sickness and in health. He turns into a life-long patient.
Ivan IllichThe depersonalizati on of diagnosis and therapy has changed malpractice from an ethical into a technical problem.
Ivan IllichTo be ignorant or unconvinced of one's own needs has become the unforgivable anti-social act. The good citizen is one who imputes standardized needs to himself with such conviction that he drowns out any desire for alternatives, much less the renunciation of need.
Ivan IllichSchool prepares for the alienating institutionalization of life by teaching the need to be taught.
Ivan IllichWe can only live the changes we wish to see: we cannot think our way to humanity. Every one of us, every group, must become the model of that which we desire to create. We must break the obsolete social and economic systems that divide the world between the over-privileged and the under-privileged. Each of us, whether government leader or protester, business executive or worker, professor or student, share a common guilt.
Ivan IllichSchool prepares for the alienating institutionalization of life by teaching the need to be taught. Once this lesson is learned, people lose their incentive to grow in independence; they no longer find relatedness attractive, and close themselves off to the surprises which life offers when it is not predetermined by institutional definition.
Ivan Illich