Ta yaya marasa daidaituwa da masu tsattsauran ra'ayi na 1960s da 1970s, waɗanda suma suke da matuƙar shakku game da rukunin masana'antu na likitanci kuma waɗanda suka taimaka juya madadin magani zuwa masana'antar dala biliyan, suka zama wasu daga cikin manyan masu goyan bayan kulle-kulle da umarnin Covid?
Mahaifiyata, macen da ta tofa albarkacin bakinta har tsawon shekaru 78, babban misali ne na wannan al'amari mai ban tsoro. Allah ya albarkace ta, ta kasance, kuma har yanzu, ta kasance mai tunani a kan batutuwa da yawa, kuma a lokaci guda tana da kwafin Kirista-yanci na Ivan Illich. Likitan Nemesis tare da nasa Jama'ar Deschooling akan rumbun littattafanta. Tasirinta kan tafiya ta hankali da rayuwata har yanzu tana da zurfi. Duk da haka, tsoron mutuwa ya yi yawa ga tsararrakinta, kamar dai. Abin mamaki, yanzu ita ce mai bishara ta allurar rigakafi kuma mai yiyuwa ne mai tsattsauran ra'ayi na Zero-Covid (amince ni, ba na sake tambaya).
A cikin shekarun jami'a, na kalli Likitan Nemesis a wucewa kuma ba a jawo shi musamman ba. Na ɗaya, shi is wani busasshiyar rubutun ilimi. A wani bangaren kuma, yana ƙunshe da bayanan ƙasa waɗanda zasu zama hassada na David Foster Wallace. Ko kadan littafin ba shi da sauki kuma ban dawo da shi ba sai 2021, yayin da al'umma ke cikin mawuyacin hali na Covid mania. Nan da nan na gane annabcinsa. Boyewa a cikin bayanan kafa (binciken Illich ba shi da kyau) jagora ne ga yanayin da muke ciki, wanda aka rubuta shekaru da yawa da suka gabata a zamanin da idan aka waiwaya baya jin kamar lafiyar jama'a kyauta ce ga kowa. Ashtrays a cikin hanyar kayan lambu na kantin kayan abinci na gida abin tunawa ne na gama gari tun lokacin ƙuruciyata a cikin 1970s. Wurin zama kowa?
Likitan Nemesis' don haka an annabta sosai inda kwararrun likitocin da lafiyar jama'a suka nufa cewa a yanzu ya cancanci karatun kurkusa ga duk wanda ke da shakku game da martanin duniya game da Covid. Idan Illich yana raye a yau kawai zai ce, tare da murmushin alamar kasuwancinsa: "Na gaya muku haka."
Dukanmu muna “rashin lafiya”. Muna wanzuwa a cikin Gilashin kallo, balaguron cuta na iatrogenic inda yara ke fuskantar tsarin endocrine na lalata hormones a lokacin ƙuruciyarsu ta hanyar ɓarna da lalatattun likitocin yara, masu haɓaka Covid an wajabta su a saman nauyin ƙwayar cuta daga rigakafi na halitta, masu haɓakawa waɗanda kaɗai ke haifar da mummunan sakamako mara misaltuwa, kuma al'ummarmu ba ta yarda da wuyan wuyanta da tiyata da yawa waɗanda ke haifar da mummunan yanayi.
Matasa suna cike da tarin magunguna don magance komai daga ADHD (wanda Illich zai iya cewa shine kawai abin da ya dace game da wahalar karatun jama'a) zuwa ƙaramin damuwa. Za a iya kiran tashar National Geographic Channel da sauran tashoshi na USB Big Pharma TV. Lissafin illa kawai yakamata kowa ya fasa gidajen talabijin.
Waɗannan kaɗan ne daga cikin mafi girman misalan misalan dystopian, shekarun likitanci sun haukace tare da haɗama da rashin kula da jin daɗin rayuwa.
Iatrogenesis shine Illich ya mayar da hankali a ciki Nemesis. Iatrogenesis, don sanya shi a cikin sharuddan ɗan adam, ba wai kawai keɓaɓɓen misali ne na rashin aikin likita ba. Shi, ta ma'anarsa, shine tsari haddasawa na yanayin kiwon lafiya da cututtuka da cututtuka na yawan jama'a ta hanyar bazuwar magunguna da ba dole ba, wanda Ilich ya kira "social iatrogenesis." Nazarin shari'a #1 daga shekarunmu na yanzu; m zuwa mai tsanani myocarditis daga sau da yawa tilastawa da kuma wajabta allurar rigakafin mNRA da aka gabatar a cikin samari masu lafiya waɗanda ba za su sami ɗan ƙaramin mura ba tare da Covid.
Abin da ya fi yin muni, yanzu da alama akwai wani bangare na waɗanda ke cikin ma'aikatan kiwon lafiyar jama'a waɗanda suka haɗu da alama da gangan cutar iatrogenic tare da haɗakar camfi na ƙarni na 18 da kuma amincewa da tsantsar rashin gaskiya, a cikin kamanceceniya da Maoist China. A kwanakin nan, ana da'awar talismans kamar abin rufe fuska har yanzu suna rage yaduwar cutar ta numfashi kuma ana ci gaba da yin la'akari da rigakafin Covid a matsayin maganin da zai iya "rage watsawa" ta CDC.
Anthony Fauci ya yi imanin cewa ba mu yi kulle-kulle ba sosai don rage yaduwar cutar. Duk karya ce mai fuska da wayo, irin na zubar jini da ledoji. Kowace rana muna fama da farfagandar da ba ta kimiyya ba haɗe da akidar hagu mai tsattsauran ra'ayi wacce ke taimakawa haɓaka masana'antar likitanci da ta riga ta binne kanta cikin ɓarna na harhada magunguna, wanda hakan ke sa jama'a masu firgita da aminci su ƙara son kuɗi.
Wataƙila mafi yawan gardamar Illich ita ce, alluran rigakafi da ci gaba da aikin likita kusan koyaushe suna da iyakataccen rayuwa kamar yadda yake. Abin da ke da mahimmanci mafi don kiwon lafiyar jama'a yana yaƙar rashin abinci mai gina jiki da rashin tsabta da har yanzu ke ci gaba da ta'azzara a wani yanki na duniya, kuma yin hakan ta hanyar "shigar da waɗannan hanyoyin da na'urori cikin al'adun ɗan adam."
Wannan gaskiya ne a cikin 1970s kuma gaskiya ne a yau - yawancin cututtuka ana kawar da su ta hanyar ingantaccen kayan aikin tsafta, samun damar hana haihuwa da ci gaban tattalin arziki. Wannan shi ne daya daga cikin dalilan da Illich ya sadaukar da mafi yawan rayuwarsa don taimaka wa matalauta mafi ƙasƙanci a birnin New York da yankin Morelos na Mexico.
Hakazalika, Illich ya kasance mai tsananin suka ga abin da yake gani a matsayin wani nau'i na mulkin mallaka na al'adu a tsakanin kungiyoyin duniya, mulkin daular da muke gani yana taka rawa a cikin karni na 21st. Kamar yadda lamarin yake a yawancin duniya ta uku, inganta yanayin abin duniya da kawar da talauci ba da gaske ba ne manufar ƙungiyoyi irin su Gidauniyar Bill & Melinda Gates; magani da kawar da cuta shine makasudin. Amma duk da haka, idan zazzabin cizon sauro na yanzu ya zama wata alama, wannan ainihin aikin sisyphean ne ba tare da inganta yanayin kayan aiki ba.
Zagaye da zagayowar muna tafiya kuma WHO ta yi watsi da kudade daga kungiyoyi masu zaman kansu suna samun kansu cikin sauki. Kamar yadda yake a shekarun 1970, haka abin yake a yau. Daga p. 56: "Kashi 90 na duk kudaden da aka ware don kiwon lafiya a kasashe masu tasowa ana kashe su ba don tsabtace muhalli ba amma don kula da marasa lafiya. Daga kashi 70 zuwa kashi 80 na dukkan kasafin kudin lafiyar jama'a yana zuwa magani da kula da daidaikun mutane sabanin ayyukan kiwon lafiyar jama'a."
Shin kiran clarion na Illich yanzu babban misali ne na ƙanƙanta, ya makara? Wannan yana iya zama. Tare da zuwan yanayin tsaro a farkon 2000s, wanda ya dogara sosai kan matakan da suka dace da ke hana 'yancin walwala da sirrin jama'a, maganin iatrogenic tare da haɓakar ikon mulkin mallaka ya haifar da yuwuwar jihar nanny wacce ba ta da mafi kyawun lafiyar 'yan ƙasa a zuciya. Bugu da kari, a shirye al'ummomin kasashen Yamma su dauki kusan dukkanin jagororinsu daga mummunan tsarin mulkin kisan kare dangi a farkon martani ga Covid, wato CCP na Xi Jinping, kuma an jefar da mutuwa.
Littafin Illich wani kururuwa ne mai tsauri a cikin jeji a lokacin, kamar Jama'ar Deschooling. Amma a cikin 1980s da 1990 ƙwararrun likitocin da lafiyar jama'a sun gurɓata a fili ta hanyar akida, kwaɗayi da zato ga ƙasar kamfani. Ritalin ta kasance de rigeur therapy ga matasa maza da 'yan mata waɗanda kawai suke son yin wasa a waje amma an tilasta musu zama a cikin azuzuwan da ba su da kyau na sa'o'i 8 a rana.
Alurar riga kafi don ƙananan cututtuka na yara kamar kashin kaji sun fara fitowa. Yawan adadin maganin rigakafi ya zama annoba da kuma zaɓen tiyata wanda ya sa yanayin ƙasusuwa ya fi muni kuma ya haifar da raɗaɗin raɗaɗi na tsawon rayuwa, jin zafi wanda daga nan aka rubuta Oxycontin, yana haifar da jaraba.
Duk ya kasance a buɗe don kowa ya gani, amma Covid ya sanya iatrogenesis ya zama babban kanun labarai kowace rana ga waɗanda mu ke mai da hankali. A cikin 2022 mutane da yawa sun fahimci cewa yin aiki da ƙarfi don yaƙi da lalacewar al'umma na iatrogenesis shine watakila mafi mahimmancin yaƙin zamaninmu. Illich ya rubuta:
"Nemesis na likitanci yana da juriya ga magungunan likita. Ana iya jujjuya shi ne kawai ta hanyar dawo da sha'awar kulawa da kai a tsakanin 'yan makaranta, da kuma ta hanyar doka, siyasa, da hukumomi na amincewa da 'yancin kulawa, wanda ya sanya iyaka ga ƙwararrun likitocin."
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Seth Smith ƙwararren ɗan waje ne kuma ma'aikacin ɗakin karatu na jama'a da ke Missouri.
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