Positive Medicine Av Dr David (consultant Occupational Physician Consultant Occupational Physician Positive Medicine Ltd) Beaumont

When Ivan Illich published Medical Nemesis in 1975, he offered a withering critique of the medical profession and the medical model. ''The medical establishment has become a major threat to health,'' he said. Nearly half a century has elapsed since then, and things have got worse. In the UK, only 5 per cent of the health budget is spent on prevention. The system is so strained that the rule is often ''one problem per consultation''. Disease management takes precedenceover disease prevention, and a wider perspective on health and wellbeing is largely absent. At least once a month, one third of GPs consider leaving the profession. Patients are referred to secondary care simply because primary care cannot cope. But doctors want to practise differently. People also want more. The global health and wellness industry has stepped into the gap. It offers more holistic and whole-person approach that people seek. And it''s big business. It is now estimated to be worth $4.2 trillion per annum.In

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