"(Illich) argued that the medicalization in recent decades of so many of life's vicissitudes—birth and death, for example—frequently caused more harm than good and rendered many people in effect lifelong patients. He marshalled a body of statistics to show what he considered the shocking extent of post-operative side-effects and drug-induced illness in advanced industrial society. He introduced to a wider public the notion of iatrogenic disease which had been scientifically established a century earlier by British nurse Florence Nightingale (1820–1910)."
Noah Smith is right on. We won't have many science toys to play with if the free energy runs out and we don't have a solution.
I think you have to accept that it isn't going to be possible to go on building ever-bigger particle accelerators for ever and ever.
Space-based astronomy has a special problem in the US. NASA, the government agency responsible for this work, has always devoted more of its resources to manned space flight, which contributes little to science. All of the space-based observatories that have contributed so much to astronomy in recent years have been unmanned. The International Space Station was sold in part as a scientific laboratory, but nothing of scientific importance has come from it. Last year a cosmic ray observatory was carried up to the Space Station (after NASA had tried to remove it from the schedule for shuttle flights), and for the first time significant science may be done on the Space Station, but astronauts will have no part in its operation, and it could have been developed more cheaply as an unmanned satellite.
I heard a congressman say that he could see how the Space Station would help us to learn about the universe, but he couldn’t understand that about the SSC. I could have cried. As I later wrote, the Space Station had the great advantage that it cost about ten times more than the SSC, so that NASA could spread contracts for its development over many states. Perhaps if the SSC had cost more, it would not have been canceled.
Big science is in competition for government funds, not only with manned space flight, and with various programs of real science, but also with many other things that we need government to do. We don’t spend enough on education to make becoming a teacher an attractive career choice for our best college graduates. Our passenger rail lines and Internet services look increasingly poor compared with what one finds in Europe and East Asia. We don’t have enough patent inspectors to process new patent applications without endless delays. The overcrowding and understaffing in some of our prisons amount to cruel and unusual punishment. We have a shortage of judges, so that civil suits take years to be heard.
The Securities and Exchange Commission, moreover, doesn’t have enough staff to win cases against the corporations it is charged to regulate. There aren’t enough drug rehabilitation centers to treat addicts who want to be treated. We have fewer policemen and firemen than before September 11. Many people in America cannot count on adequate medical care. And so on. In fact, many of these other responsibilities of government have been treated worse in the present Congress than science. All these problems will become more severe if current legislation forces an 8 percent sequestration—or reduction, in effect—of nonmilitary spending after this year.
We had better not try to defend science by attacking spending on these other needs. We would lose, and would deserve to lose.
(Update: Some people have taken issue with me putting "health care" in quotes and saying we need to cut it. Actually I think we should nationalize healthcare, drive costs down, and implement a system where doctors are incentivized to improve health outcomes, not increase the number and cost of procedures...hence the scare quotes.)
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