Abstract
Abstract The inability of various societies, rich or poor, to meet their health care objectives in terms prescribed by the economic elite and their technocrats, has been largely criticized and several reforms have been proposed in recent years. Some of the remedies envisaged were formalized in 1975 as WHO's new approach of primary health care which set up the impossible goal of “health for all by the year 2000”. The remedy of lifestyles, physician substitutes, participatory development and the marriage of traditional and modern medicine are some of the basic means comprising the new formula for resolving mankind's many health problems. The writer argues that these “alternatives” are simply new reflections of utopian liberalism propagating the exploitative illusion of ultimate solutions in a world of double standards. It is further shown that this illusion rests on some reductionistic assumptions about disease or other social ills and the remedies that paternalistic technology can provide.
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