The preoccupation with pain and symptoms is not a conspiracy of medicine foisted on an unwilling, unsuspecting public. It speaks to a poverty of options in its philosophy, not its tool kit. It is carried on with the general willingness and compliance of everyone in the treatment stream, with the full support and encouragement of pretty much everyone up and down the line. It is not a deliberate thing, not a decided thing, nor is it something more practitioners would necessarily defend if asked to do so. Practitioners want to believe that the kind of care they provide derives from the
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