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able according activity already American become better billion called capital capitalist causes cities communities consume consumption continue costs countries create crisis cultural depends diseases doctors ecological economic effect energy environment established example fact factories firms France French give growth hand hospital Illich important increase individual industrial institutions interest investments kind labor less limits living longer machines material means medicine nature necessary needs nuclear object organization person physical plants political pollution poor population possible poverty practice prevent problem production professional profit question relations replaced requires result says sick social society struggle things tion union United workers