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Manufactured diseases

..." This comment pointed toward a couple of truths. First, like almost any other doctor, my father's knowledge of the pharmacological effects and potential risks of an erectile dysfunction drug would be limited to what a pharmaceutical-company sales representative had told him about that drug.

(The notion that your doctor "knows" something as immensely complex as the field of medicine is as misguided as the idea that your lawyer knows "the law.") The more important truth implied by his comment was the point that, when considering whether something like an erectile dysfunction drug is "right for you," the scientific information available on the subject is probably a minor consideration.

After all, there is surely at least one other person whose opinion on the matter ought to be far more crucial than your doctor's. Indeed, the concept of what counts as a disease or a dysfunction is in many ways a product of social and economic factors, as well as the definitions of medical science _ or rather, the latter definitions are to a great extent driven by the former factors, rather than simply being objective scientific observations. This is especially true in the case of something like erectile dysfunction.

The phrase itself was invented fairly recently, to replace the old term "impotence." This was done in part...

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