关键词：现代医学；医药；疾病；生态系统
摘 要：The mirage of modern medicine (to use Rene Dubos's image) is one facet of the dream of progress as increasing material comfort and mastery over nature, a dream that is drifting into nightmare. The expansionist mindset strives for the gradual and eventually perfect victory over disease, disability, and perhaps even over aging and death. While in this dream state, medicine remains oddly oblivious to the large-scale constraints of ecosystems.