The first enslaving illusion is the idea that people are born to be consumers and that they can attain any of their goals by purchasing goods and ser… - Ivan Illich

Through intravenous feeding, blood transfusions, and surgical techniques, more of those who get to the hospital survive trauma, but survival rates for the most common types of cancer — those which make up 90 percent of the cases — have remained virtually unchanged over the last twenty-five years.

In an advanced industrial society it becomes almost impossible to seek, even to imagine, unemployment as a condition for autonomous, useful work. The infrastructure of society is arranged so that only the job gives access to the tools of production...Housework, handicrafts, subsistence agriculture, radical technology, learning exchanges, and the like are degraded into activities for the idle, the unproductive, the very poor, or the very rich. A society that fosters intense dependence on commodities thus turns its unemployed into either its poor or its dependents.

Protection against this general monopoly is as difficult as protection against pollution. People will face a danger that threatens their own self-interest but not one that threatens society as a whole. Many more people are against cars than are against driving them. They are against cars because they pollute and because they monopolize traffic. They drive cars
because they consider the pollution created by one car insignificant, and because they do not feel personally deprived of freedom when they drive. It is also difficult to be protected against monopoly when a society is already littered with roads, schools, or hospitals, when independent action has been paralyzed for so long that the ability for it seems to have atrophied, and when simple alternatives seem beyond the reach of the imagination. Monopoly is hard to get 4d of when it has frozen not
only the shape of the physical world but also the range of behavior and of imagination. Radical monopoly is generally discovered only when it is too late.