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What has been the impact of medical care on health over time? To answer that long-standing and still troubling question, Chris Feudtner has given us a term to use: bittersweet. Examining the history of insulin therapy, Feudtner describes what he calls the transformation of illness. The idea is simple enough, though it has not been stated so clearly and compellingly before now. Marvelous new therapeutic techniques often do not conquer or eradicate diseases but, instead, transform them. The introduction of insulin in 1922 transformed the acute, rapidly fatal course of a diabetic coma into a chronic illness that could be
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