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Reactions to impending disaster still take the form of better educational curricula, more health-maintenance services, or more efficient and less polluting energy transformers, and solutions are still sought in better engineering of industrial systems. The syndrome corresponding to nemesis is recognized, but its etiology is still sought in bad engineering compounded by self-serving management, whether under the control of Wall Street or of The Party. Nemesis is not yet recognized as the materialization of a social answer to a profoundly mistaken ideology, nor is it yet understood as a rampant delusion fostered by the nontechnical, ritual structure of our major industrial institutions. Just as Galileo's contemporaries refused to look through the telescope at Jupiter's moons because they feared that their geocentric world-view would be shaken, so our contemporaries refuse to face nemesis because they feel incapable of putting the autonomous rather than the industrial mode of production at the center of their sociopolitical constructs.
You can read all of
Chapter 8: The Recovery of Health from
Limits to Medicine: Medical Nemesis - The Expropriation of Health by Ivan D. Illich.