Today’s readings:
Conrad: “The Shifting Engines of Medicalization“ (March 2005)
Couzin: “The Twists and Turns in BRCA’s Path“ (2003)
Lock: “Breast Cancer: Reading the Omens“ (1998)
We’re going to start off with a series of quotes from the Conrad article followed by a direct example of exactly what is being described.
While physicians are still the gatekeepers for many drugs, the pharmaceutical companies have become a major player in medicalization. In the post-Prozac world, the pharmaceutical industry has been more aggressively promoting their wares to physicians and especially to the public. (Conrad 5)
Adult ADHD is one example of what Barsky and Boros have identified as the public’s decreased tolerance for mild symptoms and benign problems. Individual’s self-medicalization is becoming increasingly common, with patients taking their troubles to physicians and often asking directly for a specific medical solution. (Conrad 9)
This is a society in which we people are treated as consumers. Conrad is absolutely right. The Zoloft commercial itself presents depression as a problem that “20 million Americans” suffer from. Giving us a number like that, with a cartoon representation of depression, makes it seem like the simple blues are something that need to be medicated. While real depression is a serious issue, that doesn’t really come across in simple commercials. Quotes like “you aren’t enjoying things like you used to” greatly expands to market for the drug as that can be applied to any number of slumps in life. Adding “ask your doctor about [fill in the blank]” into any commercial also promotes hypochondria among the masses. To be honest, it’s almost a scare tactic, and makes it seem like doctors themselves would be holding out on us. With the increase of self-diagnosis tools, including WebMD which can allow people to jump to the most extreme conclusions first, we are a lot more willing to decide we have a problem when only a few years ago not a second thought would have been given to minor problems.
Conrad is absolutely right in that there is an increasing rise in medicalization, with pharmaceutical companies being driven by profit rather than genuine concern for people with real illnesses. In this article, as well as the other two listed, there is misinformation of “consumers” of these new technologies. In terms of the breast cancer gene, as addressed in the Couzin and Lock articles, both mention that the gene describes only a presdisposition to hereditary forms of cancer, or ones that affect multiple members of a family. Even so, this does not tell you whether or not you will get it, only if you are predisposed. It’s not actually an 80% chance of getting cancer; it’s an 80% chance once that right environmental triggers happen first, which overall translates to a much lower percentage. This next series of quotes outlines exactly what I’ve been saying (all from the Lock article):
- The physician and writer Lewis Thomas pointed out more than a decade ago that we live today with an ‘epidemic of anxiety’, caused in large part by the ceaseless assault from the media of messages informing us that we are at risk for everything imaginable. (9)
- ‘Predispose’ is, of course, the significant word here; it cannot be repeated too often that genes do not ‘cause’ cancer in any predetermined way, and further that in the case of breast cancer, more than 90% of its incidence, it seems, is not associated with genetics, but with a complex array of other environmental and social factors. (9)
- The ‘philosophy of risk’ as Ewald notes, incorporates a secularized approach to life, where God is removed from the scene, leaving the control of events entirely in human hands. (10)
- Risk becomes, in Douglas’s words, ‘a forensic resource’ whereby individuals can be held accountable.’ (10)
And so we’re back to playing God. Our desire to control, coupled with lack of complete information, is a powerful force in all genetics projects. With the thylacine, one of the important goals of the project is to be able to better understand evolution and evolutionary pressures by genetics. In a society fascinated with the idea of prolonging life, it would make sense that we would focus not only on prolonging lives of individuals but that of the whole human race in general. We can take into our own hands the genetic anomalies that arise and circumvent genetic pressures. We want to live forever and the way we see to do that is by conquering this world of genetics.


