The depersonalizati on of diagnosis and therapy has changed malpractice from an ethical into a technical problem.
Ivan IllichThe re-establishment of an ecological balance depends on the ability of society to counteract the progressive materialization of values. The ecological balance cannot be re-established unless we recognize again that only persons have ends and only persons can work towards them.
Ivan IllichIt takes more time and effort and delicacy to learn the silence of a people than to learn its sounds. Some people have a special gift for this. Perhaps this explains why some missionaries, notwithstanding their efforts, never come to speak properly, to communicate delicately through silences. Although they "speak with the accent of natives" they remain forever thousands of miles away. The learning of the grammar of silence is an art much more difficult to learn than the grammar of sounds.
Ivan IllichThe goals of development are always and everywhere stated in terms of consumer value packages standardized around the North Atlantic-and therefore always and everywhere imply more privileges for a few... Underdevelopment is the result of a state of mind common to both socialist and capitalist countries. Present development goals are neither desirable nor reasonable. Unfortunately antiimperialism is no antidote.
Ivan IllichThe USDHEW calculates that 7% of all patients suffer compensable injuries while hospitalized .....One out of every five patients admitted to a typical research hospital acquires an iatrogenic (Caused by the treatment process) disease, one case in thirty leading to death. Half of these episodes result from complications of drug therapy; amazingly, one in ten come from diagnostic procedures.
Ivan Illich