Death undefeated

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Abstract
Two decades later, I would have to write a very different book. Before, I used medicine to illustrate a general feature of major institutions at midcentury—their counterproductive action in making the goals for which they were designed impossible to attain for the majority of their clients. For example, schools impeded learning; transportation contrived to make feet redundant; communications warped conversation. I analysed the medical enterprise as a post-Christian liturgy that instilled a keen fear of pain, disability, and death in its devotees. Today, various institutions, especially those purporting to provide social services, have lost their identity; systems for education and medicine are interlocked with military, economic, and other systems.

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