Discussion of the Efficacy of Medical Care "The modern "heresy" that medical care (as it is traditionally conceived) is generally unrelated to improvements in the health of populations (as distinct from individuals) is still dismissed as unthinkable in much the same way as the so-called heresies of former times. And this is despite a long history of support in popular and scientific writings as well as from able minds in a variety of disciplines."
"With the appearance of his book, Who Shall Live? (1974), Fuchs, a health economist, contributed to the resurgence of interest in the relative contribution of medical care to the modern decline in mortality in the United States. He believes there has been an unprecedented improvement in health in the United States since about the middle of the eighteenth century, associated primarily with a rise in real income."
"Now is the time for us to ask ourselves: Would the money spent on the now all-but-neutered health care bill be used more effectively by developing jobs for the populace so that real income levels rise for those most affected by the downturn? Would a combination of public health education and income increases work to reduce the current spate of common causes of death as it did in the first half of the last century even though the cause of mortality has changed? I think we need to take a broader view of what has worked in the past, as it is evident that medicating the problems will not solve them now any more than it did then."