Abstract
Is a reversal of priorities in medical services desirable and likely? Now, they primarily provide care for the sick by professional healers supported by great advances in biomedical science and technology. Only secondarily do they stress health maintenance and illness prevention. That remains the responsibility of each individual to be met by self-help. We show, with the help of analytic models and arguments, that a shift toward emphasis on self-help to maintain health is likely and will increase the average number of disability-free years of life in a community. We discuss the implications of this trend for new products, services and systems, such as the emergence of computer communications networks for mutual support and aid in health maintenance.
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