"Effective health care depends on self-care; this fact is currently heralded as if it were a discovery"
About this Quote
The intent is double-edged. On the surface, it sounds like a friendly reminder that habits, rest, diet, community, and personal agency shape outcomes more than late-stage interventions. Underneath, Illich is arguing that institutional medicine has expanded so aggressively that it now needs a corrective myth: “self-care” as the newest product line, a way to outsource responsibility back onto individuals while preserving the medical system’s centrality. When self-care gets framed as a “discovery,” it’s also a way to obscure how much everyday health has been colonized by professional expertise and consumer markets.
Context matters: Illich’s broader critique in the 1970s targeted medicalization - the tendency to treat normal life processes as clinical problems and to convert citizens into patients. This sentence belongs to that worldview. He’s warning that a society addicted to professional solutions will eventually market autonomy as innovation, because it can’t admit it spent decades undermining lay competence. The subtext: if you need an institution to teach you how to be well, something has already gone sideways.
Quote Details
| Topic | Self-Care |
|---|---|
| Source | Help us find the source |
| Cite |
Citation Formats
APA Style (7th ed.)
Illich, Ivan. (2026, January 18). Effective health care depends on self-care; this fact is currently heralded as if it were a discovery. FixQuotes. https://fixquotes.com/quotes/effective-health-care-depends-on-self-care-this-9099/
Chicago Style
Illich, Ivan. "Effective health care depends on self-care; this fact is currently heralded as if it were a discovery." FixQuotes. January 18, 2026. https://fixquotes.com/quotes/effective-health-care-depends-on-self-care-this-9099/.
MLA Style (9th ed.)
"Effective health care depends on self-care; this fact is currently heralded as if it were a discovery." FixQuotes, 18 Jan. 2026, https://fixquotes.com/quotes/effective-health-care-depends-on-self-care-this-9099/. Accessed 12 Feb. 2026.




