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Why We Get Sick: The New Science of Darwinian Medicine

Why We Get Sick: The New Science of Darwinian Medicine

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4.85
31,999 ratings · 1,756 reviews
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Why We Get Sick: The New Science of Darwinian Medicine

Why We Get Sick: The New Science of Darwinian Medicine

4.85 31,999 ratings · 1,756 reviews
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Overview: We can cure hundreds of ailments, but we understand remarkably little about why diseases exist at all. Why do we crave the very things that make us sick? Why, after thousands of generations, hasn't natural selection eliminated cancer, schizophrenia, and other scourges and evolved us into perfect human beings?Such questions are at the heart of the new discipline called Darwinian medicine, which applies the principles of evolutionary biology to the problems of medicine. The result of a unique collaboration between the chief architects of this new science - a groundbreaking Darwinian physician and one of the pioneers of modern evolutionary theory - Why We Get Sick offers a whole new set of scientific questions and suggests new ways of understanding illness. Finding evolutionary explanations for why we get sick - infectious agents that evolve faster than we do, environmental novelties, genes that are selected despite the fact that they cause disease, defenses, design compromises, evolutionary legacies - can help us uncover new, more effective methods of treatment. It can help resolve medical quandaries - for example, when is it best to let a fever run its course and when best to bring it down with medication? It offers a new view of disease that changes the relationship between our bodies and ourselves.Why We Get Sick takes the first major step toward reconceiving medicine as we approach the twenty-first century. Incorporating an evolutionary perspective into our understanding of illness will revolutionize the art and science of medicine and enable its practitioners to come close to achieving its ancient goals: To cure, sometimes. To help, often. To console, always.

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Book details & editions

ISBN
81788
Publisher
Vintage
Publication date
January 31, 1994
Pages
290 pages
Reading Options
PDF · EPUB · Mobi
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Randolph M. Nesse
About the Author
Randolph M. Nesse
17,583 Followers

Randolph M. Nesse writes contemporary fiction and has always been fascinated by character-driven stories. They hold a degree in English Literature and previously worked as an editor before transitioning to writing their own books. Randolph M. Nesse lives with their spouse and a very vocal rescue cat.

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Brian Taylor
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A very strong entry. The middle had a deliberate pace, but the climax was phenomenal. Quite impressive overall.
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I was completely blown away. I adored how the story unfolded. It kept me captivated without sacrificing elegance. I am now a lifelong fan of this author.
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Such a rich narrative. I became deeply invested in the protagonist's journey. A masterclass in storytelling. Worth every moment spent reading.
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Masterpiece from start to finish. I adored how the story unfolded. It kept me captivated without sacrificing elegance. An absolute must-read for connoisseurs of the genre.
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Masterpiece from start to finish. The author orchestrated a breathtaking finale. Truly a work of art. I am now a lifelong fan of this author.
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Masterpiece from start to finish. I adored how the story unfolded. It kept me captivated without sacrificing elegance. Worth every moment spent reading.
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A profoundly satisfying read. I became deeply invested in the protagonist's journey. A masterclass in storytelling. I will undoubtedly revisit this masterpiece.
Paul Moore
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Absolutely brilliant. The author orchestrated a breathtaking finale. Truly a work of art. An absolute must-read for connoisseurs of the genre.
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Edward Turner February 27, 2025
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Patricia Perez
Patricia Perez November 26, 2024
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Masterpiece from start to finish. I became deeply invested in the protagonist's journey. A masterclass in storytelling. Worth every moment spent reading.
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Exceeded all my expectations. I became deeply invested in the protagonist's journey. A masterclass in storytelling. I am now a lifelong fan of this author.
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Honestly one of the most premium reading experiences lately. I adored how the story unfolded. It kept me captivated without sacrificing elegance. I will undoubtedly revisit this masterpiece.
Joseph Martinez
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I thoroughly enjoyed the elegance of it. Beautiful writing, though I craved slightly more depth in the lore. Still, undeniably engaging. A very distinguished novel.
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Exceeded all my expectations. The prose is exquisite. It’s accessible yet undeniably sophisticated. I will undoubtedly revisit this masterpiece.
Mary Martin
Mary Martin June 25, 2025
Such a rich narrative. I adored how the story unfolded. It kept me captivated without sacrificing elegance. I will undoubtedly revisit this masterpiece.
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I thoroughly enjoyed the elegance of it. The protagonist was compelling, though some subplots felt slightly overshadowed. A wonderful companion for a quiet weekend.
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Paul Smith April 27, 2025
Masterpiece from start to finish. The author orchestrated a breathtaking finale. Truly a work of art. Worth every moment spent reading.
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Donald Hernandez
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Excellent, though slightly flawed. A brilliant concept executed with flair. Just a few pacing choices I would change. A solid 4 stars from me.
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Mary Jackson January 28, 2024
I thoroughly enjoyed the elegance of it. The middle had a deliberate pace, but the climax was phenomenal. Quite impressive overall.
Rebecca White
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Exceeded all my expectations. I adored how the story unfolded. It kept me captivated without sacrificing elegance. An absolute must-read for connoisseurs of the genre.
Mary Rodriguez
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A profoundly satisfying read. The prose is exquisite. It’s accessible yet undeniably sophisticated. An effortless 5 stars.
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Masterpiece from start to finish. The prose is exquisite. It’s accessible yet undeniably sophisticated. A true literary gem.
Joseph Robinson
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Absolutely brilliant. The author orchestrated a breathtaking finale. Truly a work of art. A true literary gem.
Jessica Hall
Jessica Hall June 27, 2025
I was completely blown away. I adored how the story unfolded. It kept me captivated without sacrificing elegance. A true literary gem.
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Michelle Reyes April 07, 2025
Masterpiece from start to finish. I became deeply invested in the protagonist's journey. A masterclass in storytelling. A true literary gem.
Deborah King
Deborah King March 31, 2024
I was completely blown away. The prose is exquisite. It’s accessible yet undeniably sophisticated. An absolute must-read for connoisseurs of the genre.
Michelle Lee
Michelle Lee August 09, 2024
An acceptable diversion. The tempo was somewhat languid, and I found my mind wandering. Not poor, simply average. A fair 3 stars.
Kimberly Garcia
Kimberly Garcia December 24, 2024
Absolutely brilliant. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. An effortless 5 stars.
Anthony Thompson
Anthony Thompson June 05, 2025
Exceeded all my expectations. I became deeply invested in the protagonist's journey. A masterclass in storytelling. Worth every moment spent reading.
Amanda Anderson
Amanda Anderson August 16, 2025
Masterpiece from start to finish. I adored how the story unfolded. It kept me captivated without sacrificing elegance. An absolute must-read for connoisseurs of the genre.
Mary Thompson
Mary Thompson June 12, 2025
Such a rich narrative. I adored how the story unfolded. It kept me captivated without sacrificing elegance. I am now a lifelong fan of this author.
Joshua Moore
Joshua Moore June 11, 2025
Took a moment to build, but the payoff was spectacular. Beautiful writing, though I craved slightly more depth in the lore. Still, undeniably engaging. I would highly recommend this to discerning readers.
Ryan Walker
Ryan Walker November 24, 2025
Honestly one of the most premium reading experiences lately. The prose is exquisite. It’s accessible yet undeniably sophisticated. I am now a lifelong fan of this author.
Andrew Jones
Andrew Jones May 31, 2025
Masterpiece from start to finish. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. A true literary gem.
Donald Baker
Donald Baker February 03, 2025
Exceeded all my expectations. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. A true literary gem.
Anthony Rodriguez
Anthony Rodriguez August 10, 2025
Exceeded all my expectations. I became deeply invested in the protagonist's journey. A masterclass in storytelling. An absolute must-read for connoisseurs of the genre.
Brian Flores
Brian Flores April 14, 2025
Took a moment to build, but the payoff was spectacular. The middle had a deliberate pace, but the climax was phenomenal. A very distinguished novel.
John Evans
John Evans May 25, 2024
Excellent, though slightly flawed. A brilliant concept executed with flair. Just a few pacing choices I would change. A wonderful companion for a quiet weekend.
Donna Gomez
Donna Gomez January 29, 2025
Masterpiece from start to finish. The prose is exquisite. It’s accessible yet undeniably sophisticated. I am now a lifelong fan of this author.
Andrew Allen
Andrew Allen May 25, 2024
I find myself somewhat conflicted. It possessed moments of brilliance, but the narrative felt slightly disjointed ultimately. Unlikely to reread, but a reasonable expenditure of time.
Patricia Martin
Patricia Martin November 16, 2025
Such a rich narrative. The author orchestrated a breathtaking finale. Truly a work of art. A true literary gem.
Deborah King
Deborah King August 26, 2024
A decent, if standard, experience. The prose was competent, yet the characters lacked the depth I usually seek. A fair 3 stars.
Kevin King
Kevin King September 10, 2024
A very strong entry. The middle had a deliberate pace, but the climax was phenomenal. I would highly recommend this to discerning readers.
Richard Roberts
Richard Roberts October 31, 2025
Such a rich narrative. The author orchestrated a breathtaking finale. Truly a work of art. I will undoubtedly revisit this masterpiece.
Melissa  Davis
Melissa Davis August 08, 2024
A highly sophisticated read. Beautiful writing, though I craved slightly more depth in the lore. Still, undeniably engaging. I would highly recommend this to discerning readers.
Patricia Perez
Patricia Perez October 07, 2024
I thoroughly enjoyed the elegance of it. The middle had a deliberate pace, but the climax was phenomenal. A wonderful companion for a quiet weekend.
Christopher  Davis
Christopher Davis April 12, 2024
I thoroughly enjoyed the elegance of it. A brilliant concept executed with flair. Just a few pacing choices I would change. I would highly recommend this to discerning readers.
Lisa Lopez
Lisa Lopez February 24, 2025
Absolutely brilliant. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. I will undoubtedly revisit this masterpiece.
Susan Turner
Susan Turner January 07, 2025
Masterpiece from start to finish. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. An effortless 5 stars.
Ashley Martin
Ashley Martin March 17, 2024
Such a rich narrative. The prose is exquisite. It’s accessible yet undeniably sophisticated. I will undoubtedly revisit this masterpiece.
Emily Walker
Emily Walker January 20, 2025
Honestly one of the most premium reading experiences lately. It strikes a perfect harmony of dialogue and world-building. Every chapter felt necessary. An effortless 5 stars.
Jessica Thompson
Jessica Thompson January 13, 2024
Excellent, though slightly flawed. A brilliant concept executed with flair. Just a few pacing choices I would change. Quite impressive overall.
Robert Perez
Robert Perez October 26, 2025
Took a moment to build, but the payoff was spectacular. A brilliant concept executed with flair. Just a few pacing choices I would change. A wonderful companion for a quiet weekend.
Gary Lopez
Gary Lopez December 30, 2025
Such a rich narrative. The pacing was impeccable and the characters felt incredibly authentic. I was completely immersed. An effortless 5 stars.
George Edwards
George Edwards March 23, 2024
Excellent, though slightly flawed. The middle had a deliberate pace, but the climax was phenomenal. A solid 4 stars from me.
Ryan Flores
Ryan Flores August 17, 2024
An acceptable diversion. The prose was competent, yet the characters lacked the depth I usually seek. Unlikely to reread, but a reasonable expenditure of time.