Why do greater certainty and more control only heighten our fear for what remains outside our control—especially if the possibilities are so improbable?
—Bob Cutillo, MD
It is a curious thing that health care, whose very existence was once solely predicated upon helping people, has become an intimidating, monolithic, even frightening system that nobody fully understands and that can even ruin people physically, financially, and emotionally. It is not that anyone sets out with an evil gleam in his or her eye seeking to scuttle the lives of the medically needy; instead, we have arrived at the current state of health care rather unintentionally. The root problem is that we believe our health to be a possession to which we are entitled and our health care a service which we have purchased, and thus are owed good service.
This is at least the thesis of the recent book Pursuing Health in an Anxious Age by Dr. Bob Cutillo, a physician for the Colorado Coalition for the Homeless in Denver, Colorado. it is true, of course, that when you or I go to the doctor we do expect competent and accurate diagnosis of any issues we are suffering from. What happens, though, when the diagnosis is something that cannot be treated? We may rage and splutter at the doctor as if we are being short shrifted, but this belies the fact that we have forgotten that health is a gift, not a possession. Nobody receives a guarantee in the birthing room that he or she will live a long, healthy, and disease-free life. Every healthy day we live is undeserved.
With a certain amount of irony, it is this acceptance of our true lot in life that actually leads to a better relationship with our health. Life is a gift, and when a doctor, medicine, drug, or procedure restores us back to health this is also a gift. When we receive the news that a chronic condition is incurable or that death is knocking at the door, we can receive that news with sorrow, but also with a certain measure of peace and contentment, because every good day we have ever lived has been given to us.
I personally have a complicated relationship with the medical establishment; luckily I only have ever been to the doctor for something really serious a couple of times, but the heartache of sickness and death is not far from any one of us. I have lived my life in the peculiar valley that many others dwell in; on the one hand there are those who insist that everything about the medical establishment is good and ought to be accepted uncritically if it is uttered from the doctor’s lips. On the other hand, there are those who swear off anything and everything that has to do with the AMA; healthy living is a specific formula of nutrition, vitamins, essential oils, natural remedies, and even things like homeopathy and reflexology. To be honest, one of the reasons I picked up Dr. Cutillo’s book was to see if he might provide a way forward.
Reading Pursuing Health in an Anxious Age did not automatically reconcile these two groups in my mind or even provide me with an obvious third way, but Dr. Cutillo did help me recognize and understand that the posture of control is evident in both of these groups—they just disagree on how to control life. Viewing life as a gift, however, offers a certain amount of liberty in both. You can receive the diagnosis from the doctor without being disillusioned when the news is bad.
If I have any critique to offer of the book, it’s that its target audience is not always clear. Sometimes it’s as if Cutillo is writing to medical professionals, and sometimes to laypeople. The result is a book that feels at some points laser-focused in its intent and at other points simply over my head. That is a relatively small critique, however, and in general there is plenty of food for thought for any reader. Though I would hesitate to call this a five star book, it nevertheless is one of the most interesting, applicable, and genre-crossing books I have read this year. I highly recommend it.
DISCLAIMER: I received a copy of this book from the publisher for the purpose of a fair, unbiased review.
Cover photo courtesy of 强 石.