It is a fascinating book distilling the author's philosophy of life and medicine after many years of professional experience as a senior Cardiologist, influenced by the Indian tradition of Ayurveda, I very much agree with the author's basic understanding of the natural processes of homeostasis which help us (and all living creatures) to adapt to our changing environment. This book is a development of the ideas of Ivan Illich In "Medical Nemesis" but it is more detailed and insightful "LORD NICOLAS R" Here, laid out clearly and concisely, are all the well-established potholes and pitfalls in current medical thinking and practice. It is a thought provoking challenge to modern medical practice and research. Dr Hegde confronts the issue, and proposes an alternative humanistic attitude to education and treatment. Drawing on a huge range of resources from Sanskrit texts, Green and European philosophers, ancient and modern healers, to the most up-to-date Western research and publications. He has written a book that is both scholarly yet easy to read, and which will appeal to everyone involved in medicine whether students, practitioners or patients.