by Robert Ornstein, Ph.D. and David Sobel, M.D.

A person who survived the harzardous years of childhood was likely to live nearly as long with or without modern medicine

1850s—3,000/1 mil

1973—20/1 mil

1945 97%1940sStreptomycin

1950sVaccination

TB 肺病

農夫而不是醫生為最重要

The contemporary health and medical effort has, in large part, been misdirected, misspent, and its successes misattributed.

方向　　金錢　　

成功

Utah and Nevada猶他州﹑內華達州

地理 天氣 收入 教育 城市發展

醫生病床對人口比例

地理 天氣 收入 教育 城市發展

醫生病床對人口比例

猶他州 內華達州

成人死亡率 高 40%

Lifestyle: an indication on resistance to illness

不吸煙少喝甚至喝酒定期運動定時食飯足夠睡眠

General Motors

• Le germ n’est rien, c’est le terrain qui est tout.

* conservative

* brake

* back to

normal

* arousal

* excited

* accelerate

* acetylcholine

* decentralized

* Norepinephrine

* centralized in brain

Sick child

Doctor took off white coat,

Peeled a peach

2-3 days later boys got much better

Artery tying operation

10,000

1. Most ailments are “self-limited”

2. Many illnesses follow their own specific “natural history”

Sept 12 2002