SUMMARY : “Le marché de la santé et les mensonges d Etat”, essai, 2024 Attheheartofthetrialisananecdote:anewspaperinformsitsreadersthataLondoncourtabolishedthemedicaldiagnosisof “natural death” to replace it with that of “violent death”.Ellawasbornhealthyanddiedfromasphyxiationateightyearsofageaftermanyhospitalisations.Hermother,RosamundKissi-Debrah,lefthercareerasateachertodevoteherself,forsevenyears,tobattlingwithlegalauthoritiestofindoutifher daughterwasoneofthehundredsofthousandsofchildrenwhodieeveryyearworldwideduetoairpollutioncausedbyhuman activities. Theimpunitygrantedbystatesandtheirpublichealthauthoritiestopollutersandtheireconomicactivitiescontributestothis disasterandthecontinuationofpollutiontothedetrimentofthehealthofmillionsofhumanbeings.Itiscleartoallthatthe resultingprematureandpreventablemortalityiscausedbyman.Therefore,thisconstellationprohibitshumanandscientific medicine from diagnosing a natural death. Instead, it will use the term “anthropogenic death”. Withthepolitical,economicandhealthauthoritiesnotcomplyingwithhumanhealthrights,appealingtothecourtswastheonly wayforElla’smothertoobtainadiagnosisthatreflectedtherealityoflife.Because,unlikethechild’scaregivers,forensic medicinetookintoaccountthefactthatshehadgrownupclosetoanintersectionknownforitsconstantheavyroadtraffic, producing toxic substances incompatible with respiratory health, especially at a young age.Medicineismeanttopromotelifeandensurehealthrights.Theauthoremphasisestheimportanceoftherighttoascientific diagnosisforall.Thisrightispartandparceloftherighttohealth,andderivesfromtheage-oldmottoPrimumnonnocere, whichappliestoallprofessionsworkingforlife.Thehumanactivitywecall“war”isnoexception,becauseahumankilling another human via an industrial product is an assassin guilty of causing an anthropogenic death and not a hero.Severalchaptersrecalllawsuitsagainstofficialsintheindustry,healthadministrations,andthehealthcaremarketthatproduced, soldandprescribedsubstanceswhoseconsumptionwasdetrimentaltothelife,healthandfreedomofusers.Theanalysisofthe judgementsfoundthesametheme:violationofbodilyintegrity,negligenthomicide,prohibitionofsellingtheoffendingproducts onthemarket,andfinallytheattempttorestorejusticebypayingcompensationtoinjuredpeopleortheirfamilies.Forexample, after the thalidomide and asbestos scandals, reparation payments have been continuing for decades.Thetrialputsatthecentreofitssecondpart–history–theDeclarationofGeneva,thebeginningofwhichfollows:“Asa member of the medical profession, I solemnly pledge to dedicate my life to the service of humanity”. ThisuniversalprinciplereferstotheDeclarationofHumanRights.Itbreakswiththetribalismthathadcharacterisedthe healthcaresystemsinceitsfoundationbytheleaderoftheSecondReich,OttovonBismarck.Itsmotto,contrarytothatofthe medicalprofessioncitedabove,reflectsthespiritofthetime:“Bybloodandiron”.ItguidedtheredesignoftheGermanempire afterthreewars.Thankstotheseconquests,theIronChancellordemandedtheGermansideofwhathecalledthecolonialcake. Later,hismottowenthandinhandwiththefirstgenocideofthe20thcentury,aworkperpetratedinNamibia.Neitherthe healthcare system nor its medical profession fought it. UndertheliberalregimeofWeimar,GermanphysiciansbeganreferringtoPlato’sphilosophyofstate.Thiswesternthought leader,unlikeHippocrates,renderedlegalpowertophysiciansthatassignedthemthetaskofselectingthehumanswhoselife wasuselessandofkillingthem.IntheThirdReich,thevalueofhumanbeingswasmeasuredbytheirusefulnessinwinningthe war,strengtheningtheeconomyandenhancingtherace.FromthefirstdayoftheSecondWorldWar,lyinganddeceptionledto killingbyiatrogenicmeans.Physicianswerehidingtheircrimesusingthe“euthanasia”euphemism,makingupdiagnosesand falsifyingmedicalrecords.Thehealthcaresystemguaranteedthetransformationofthisactivityintoanindustryfordeathknown asShoa,theeliminationofanethnicitydiagnosedbyitsphysicianasbeingan“inferiorrace”.Thisultimateantithesistothe universalprincipleprovedonceandforallthedangerofputtingphysiciansintheserviceofapowerbuiltondiscrimination.The Nuremberg Trials ended with sentencing several physicians and healthcare system leaders to death by hanging. PhysiciansaroundtheworldcouldnolongerreturntoPlato’sphilosophy.TheylookedtoHippocratestorephrasethemillennial textknownastheHippocraticOath.Thishistoricalsectionconcludeswiththerefutationofmedicaluniversalismthroughthe choiceofanewthoughtleader.In“DrBernardMandeville.LectureOnaMasterMind”presentedbeforetheBritishAcademyfor thePromotionofHistorical,PhilosophicalandPhilologicalStudiesinLondonin1966,theéminencegriseofliberalismatthetime andfutureNobelPrizewinnerinEconomics,ProfessorFriedrichAugustvonHayek,attributedthishonourtothedoctorof medicine,BernardMandeville,describedasamentortoAdamSmith,fatherofmoderneconomics.However,itshouldbenoted thatMandevilleisanapologistoftheprincipleof“thevalueofwarincommerce”.Inaddition,headvocatesfor“thebig,opulent andbelligerentnation”achievingitsvictoriesby“forcewhichmustprevailoverlaw”.Thislecturemanifestsitselfasacounter-project to the Declarations of Human Rights and the Declaration of Geneva.Inresponsetothisbacktracking,theauthorputshumanhealthrightsinthemiddleofthethirdpartofthetrial.Basedonhis forty years of medical experience, he refers to health, this pure creation of nature at the base of each cell of the living being.TheauthorrecallstheParisAgreements.Oncetheyweresigned,morethan190stateshadthencommittedtheirhealthsystem, implicitlytheirmedicine,torespectingHumanRights,HealthRightsforallandChildren’sRightstogrowupinahealthy environment congruent with their health. Inconcreteterms,itwastheabolitionofsupremacyanddiscrimination,includingtheracetheorynurturedbyuniversitiesand medicalschoolsforcenturies.Becausethecellisthevitalelementoforganisms,notribalornationalsocialbodycantakethe placeofitsmicrocosm.Thecellisthefirstreferenceinscientificandhumanmedicine.Celltheory,withitsgenealogy,anchors life and human health in natural history. Human history is an episode within it. Life,healthandfreedomareinnate,andphysiciansarestartingtobecompetentintreatingthemasinternalities.Itisneither scientific nor human to declare them “externalities” like the social science of economy does. Inthemicrocosmicworldofcellularityoforganisms,humanbeingsareapurecreationofnatureand,sinceHippocrates,the ultimatereferenceinmedicalscience.Anthropogenicdeathisincompatiblewiththerighttonaturaldeath.Onlythelatter corresponds to health rights.