In England, public health was divorced from clinical medicine during the mid-nineteenth century, following a directive from Edwin Chadwick. Since then, the two disciplines have gone their separate ways with physicians receiving training for curative practice on the one hand and for public health practice on the other. The United States, among many other countries, followed suit. In due course, the frontiers of both curative medicine and public health have expanded. This divorce between the two disciplines of medicine cannot be justified. Medicine includes the whole enterprise: sanitation, hygiene, genetics, nutrition, behaviour and therapeutics, all in relationship to man himself in his natural, social, economic and political environment. Each branch of medicine has its distinct role to play, but it is only a part and not the whole; all of them together make the whole. Unmindful of these realities, curative medicine on the one hand and preventive medicine on the other, each finds itself shrouded in mystery. They have become enlarged and out of proportion to their real utility and a sense of realism is called for. The mythical dichotomy in curativ
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