As I read Mary McGonigle-Martin’s poignant account of how the doctors blamed and humiliated her during Chris’ illness, and Anna’s account of how she refrains from telling her physician about her emerging dietary habits, I was reminded of the intriguing account provided in “The Untold Story of Milk” about how the health care profession got to be the way it is today.

Back in the middle 1800s, there were two competing schools of thought about how disease developed the way it did. On one side was the French physiologist, Claude Bernard, and his concept of “milieu interieur,” or the individual’s internal environment for handling infectious disease, including what we now recognize as the immune system. Part of his teaching, says Schmid in the book, “was that the balanced equilibrium that resulted from a fully healthy body was not easily upset by organisms that caused disease in a less healthy body…(reinforcing) the ancient concept of empirical healers since Hippocrates, that the cause of all disease ultimately lay in the life and habits of the individual.”

On the other side was Louis Pasteur and his “germ theory.” He not only came up with a method to kill microorganisms in milk, but also in wine. He discovered a bacteria that caused disease in silkworm, saving the French silk industry, and came up with a vaccine against rabies. It all combined to make Pasteur a celebrity, honored eventually by Emperor Napoleon III. “Pasteur’s mechanistic understanding of disease took away the individual’s power to prevent it, and placed the mandate to cure squarely in the hands of the medical professionals,” writes Schmid.

“That science and medicine went down the path of Pasteur’s germ theory was not inevitable,” he adds. “The germ theory led to the assumption that disease germs could be overwhelmed and eliminated only by drugs. But ample evidence existed for Bermard’s alternative theory of the milieu interieur, or internal terrain, as the dominant element in determining the outcome of the battle between humans and pathogenic microbes.”

Unfortunately, the notion of encouraging people to build up their immune systems via healthy diets isn’t all that sexy, or profitable. Pasteur’s theory had the sizzle, as in profits and power. It’s much better for "the economy" if businesses keep developing new ways for zapping bacteria (as in irradiation) and treating the chronic illnesses that result from our malnourishment (as in diabetes). It’s all evolved into the wonderfully interconnected system of physicians, drug companies, processed food companies, medical associations, and government bureaucrats that Mary, Anna, and the rest of us bump up against today…and the climate of fear that keeps the system going and growing.