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The Crisis of Medicine or the Crisis of Antimedicine?

Co-development of drugs and companion diagnostics might need timely and coordinated approval decisions from different bodies to meet the requirements of joint clinical trial schemes and eventually the approval of both the drug and its associated test. In addition, the path to get a stratified indication approved is not always clear. In this respect, the status of retrospective analysis deserves clarification. Besides, the concept of qualification is evolutionary and clear guidelines are missing. Therefore, the regulatory authorities should be contacted early enough to provide input, give advice and hence allow adjusting strategies on time. . | foucault studies English Translation Foucault Studies 2004 ISSN pending Foucault Studies No 1 pp. 5-19 December 2004 TRANSLATION The Crisis of Medicine or the Crisis of Antimedicine Michel Foucault Translated by Edgar C. Knowlton Jr. Professor Emeritus University of Hawai i William J. King University of Hawai i and Clare O Farrell Queensland University of Technology 1 NOTE This was the first of three lectures given by Michel Foucault on social medicine in October 1974 at the Institute of Social Medicine Biomedical Center of the State University of Rio de Janeiro Brazil. It was originally published in Portuguese translation as Crisis de un modelo en la medicina Revista centroamericana de Ciencas de la Salud No 3 January-April 1976 pp. 197-209 and in Spanish as La crisis de la medicina o la crisis de la antimedicina Educacion Medica y Salud Vol 10 No 2 1976 pp. 152-70. The version in Dits et écrits Paris Gallimard vol III pp. 40-58 is a retranslation of the Portuguese back into French. We have translated this article from Spanish and thank PAHO Publications for their permission to publish it. We have also compared it to the French translation by Dominique Reynié. I would like to open this lecture by drawing attention to a question which is beginning to be widely discussed should we speak of a crisis of medicine or a crisis of antimedicine In this context I shall refer to Ivan Illich s book Medical Nemesis the Expropriation of Health 2 which given the major impact it has had and will continue to have in the coming months focuses world public opinion on the problem of the current functioning of the institutions of medical knowledge and power. But to analyze this phenomenon I shall begin from at an earlier period the years between 1940 and 1945 or more exactly the year 1942 when the famous Beveridge Plan was elaborated. This plan served as a model for the organization of health after the Second World War in England and in many other countries. The date of this Plan has