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Have you ever been to the doctor’s office and thought they were doing more harm than good?
In 1847, a Viennese doctor named Ignaz Semmelweis noticed something that should have been impossible.
At Vienna General Hospital, there were two maternity clinics. One was staffed by midwives. The other by doctors and medical students—the best-trained men in Europe. But in the doctors’ clinic, mothers were dying of childbed fever at nearly ten times the rate of the midwives’ clinic.
The experts were the problem.
Semmelweis figured out why. His students were walking straight from the autopsy room to the maternity ward. They were going from corpses to examining pregnant ladies without washing their hands.
So, as a lead physician, Semmelweis made handwashing mandatory. Mortality collapsed from eighteen percent to under two.
The Greeks have a word for this: iatrogenesis—illness that originates with the healer.
Despite the breakthrough, his colleagues mocked and marginalized Semmelweis, and he died in an asylum—ironically of sepsis. It took the medical establishment decades to admit what he’d proven with a bucket of chlorinated lime: Sometimes the people sworn to heal you are the ones making you sick.
Now, keep that in mind. Because I want to argue that iatrogenesis has escaped the hospital. It has infected our politics, our institutions, and our national character.
Those purporting to help are making us worse off.
Bad Therapy
Start with therapy.
In her book Bad Therapy, Abigail Shrier makes an uncomfortable case: a lot of contemporary psychotherapy doesn’t heal people, so much as it recruits them. This is especially true for young people who make perfect repeat customers. They return, become dependent, and are forever “processing” their traumas—or whatever.
The modern therapeutic industry keeps clients dredging up the past, reopening wounds that had scabbed over, and hunting for external villains or systems to blame for everything that makes us feel bad. Session after session. Year after year. (Cha-ching!) On it goes.
And what has this produced? A generation with paper-thin skin, no resilience, and no internal locus of control. Young people are being trained to believe that the source of their suffering is always somewhere out there—and so the solution must be too.
That’s iatrogenesis. The therapist, with unclean hands, probes their psyches.
Too many lack the strength, fortitude, and coping mechanisms that adulthood demands.
But let’s zoom out now. Because what Shrier documents in the clinics and schools, we can see everywhere.
The Therapeutic State
Back in the sixties, the psychiatrist Thomas Szasz coined a term: the “Therapeutic State.” Admittedly, I’ve never been Szasz’s biggest fan. But part of his diagnosis holds up. A Therapeutic State is a society where the government manages its people the way a bad therapist manages a client.
In other words, social problems get medicalized. Moral questions become psychological ones. Personal responsibility dissolves into diagnosis. And the state grows its power—not with tanks and Tommy guns, but with clipboards and case files, always in the name of some group’s well-being.
Send in the social workers! The social controllers wear lab coats. Dissent becomes pathology (gaslighting). Struggles become syndromes or systemic this, or structural that. And every syndrome requires a program, a budget, and an agency.
Now extend Szasz through Shrier, and you get what I call the Iatrogenic State.
In other words, just as bad therapy makes patients sicker, the therapeutic approach to governance makes citizens weak and dependent. If every social problem gets treated as a collective trauma, then every trauma requires state intervention. If every state intervention creates more dependence, that condition justifies the next intervention.
Government officials don’t just fail to cure what ails us. The state and its proxies become the disease vector.
Mommy and Daddy Parties
So who runs the Iatrogenic State?
Look at our two parties, and you’ll see two archetypes—each one a natural instinct pushed to a pathological extreme.
The Democrats have become the Mommy Party. The Republicans, the Daddy Party. And in their unhealthy forms, Jungians have names, too: the Devouring Mother and the Tyrannical Father.
The Devouring Mother loves her children so much she consumes them. She can’t let them separate, can’t let them take risks, and can’t let them grow. She seeks to control them through guilt, enmeshment, and the soft smothering of victimhood narrative and savior complex.
Meanwhile, the Tyrannical Father rules through fear. Rigid. Punitive. He seeks to crush autonomy in the name of keeping order and calls his demands for conformity discipline.
Now translate all this to politics.
The Devouring Mommy Party infantilizes half the country and casts them as perpetual victims. Guilt campaigns. Shame rituals. DARVO. And an endless empire of programs designed to manage and coddle their timid voting herds. They wave their carrots and conceal their sticks. The Mommy Party’s mantra is: Send in the social workers.
The Tyrannical Daddy Party overcorrects. It’s all force and no reflection. Punishment is their first resort. So they prefer to use sticks but use carrots grudgingly. The Daddy Party’s mantra is: Send in the cops.
And We the People?
We’re treated as children in a custody battle between two unfit parents, whiplashed from one shitty administration to the next every four years.
Now, here’s a weird twist: These archetypes borrow each other’s weapons.
The Mommy Party keeps its legion of counselors and civil servants out front as moral cover, then sends armed men to do their dirty work—think entrapment operations, political roundups, and tax agents. And the Daddy Party? For all its contempt for therapy-speak, it’s happy to seize the therapeutic machinery once it’s built—say, by treating pornography as a “public health emergency” or suggesting we institutionalize homeless people. How about the current health secretary suggesting the state “reparent” Americans on wellness farms?
All of which brings us to a warning.
But first, I’ll admit it: I sometimes think this moment calls for more muscular actions to correct years of mollycoddling and managed decline.
I also realize that every lever of emergency power the Daddy Party introduces, it leaves for the Mommy Party. And the Devouring Mothers who pick it up next won’t be gentle nurturers. They’ll be Nurse Ratched with a grudge.
Foolish tyrants and mean mommies build the weapons their enemies will inherit. The pendulum swings back. And tit meets tat.
If muscular government has any excuse to exist right now, its one legitimate target is itself—that is, permanent institutional reform.
The Mirage
At this point, some of you are picturing a solution. Maybe a leader—someone who balances masculine strength with feminine care. Someone who sheds the strongman vulgarity of this administration and the doddering flaccidity of the last. Maybe this someone makes you proud when they walk up to the podium.
But I have five words for you: The presidency is a mirage.
We’ve had the soaring orators, and they turned out to be snakes—servants of the managerial regime surrounded by good speechwriters. The search for the perfect parent-in-chief is a symptom of the Iatrogenic State—that therapeutic mindset aimed at the White House. Someone out there will fix society for us.
Sorry. There is no salvation on a ballot.
As long as we keep outsourcing our agency to Washington, we remain patients in the iatrogenic ward, waiting for a heroic figure to make his or her rounds. But healing starts when we walk past the therapists, right up to the mirror, and then right up to our neighbors.
The Agentic Society
So what replaces the Iatrogenic State?
I call it the Agentic Society. In this society, a healing person restores her internal locus of control. She stops looking around for villains and starts practicing virtues and making stuff happen. A healing people does the same thing at scale.
That means we need new archetypes. Not the Devouring Mother and the Tyrannical Father, but the Samaritan and the Steward. The Caregiver and the Mentor. The Educator and the Entrepreneur. And if you catch a glimpse of Mom and Dad in those figures—healthy this time—so be it.
It means a structural swap: government by imposition gives way to governance by agreement—that is, consent, contract, and community. Neighbors helping neighbors, not because a program mandates it, but because that’s what neighbors do.
Decentralization means the new gravitational center is local. That is, proximate, voluntary institutions replace the wild swings of the national political pendulum.
Tocqueville saw this in Americans two centuries ago. We were a people who formed an association before breakfast to start solving a problem by lunch. Yet those muscles have atrophied. Politics swallowed civil society, and TikTok activism replaced critical thinking.
Still, atrophy is not amputation.
Even as the sociopaths in Washington are sure to keep draining us through debt and taxation—engineering our dependence; billing us for our own sedation—we can start to work those communitarian muscles again.
Semmelweis couldn’t get the doctors in Vienna to wash their hands because doing so would mean admitting they were the disease vectors. The medical establishment chose its pride over its people, so all Semmelweis’s gains were lost. Our political establishment faces the same choice, and it too will choose pride over the people. The Iatrogenic State will never diagnose itself, which means we have to wash our hands of it.
So, what does that mean to you and me?
Every minute we pull out of politics and pour into our block, our congregation, our kids, and our craft—is an improvement that will add up. And every dollar redirected from the architecture of oppression to the contours of agreement? That’s how we heal society.
I’m Max Borders. Let’s criticize by creating.
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