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<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "https://www.w3.org/TR/1999/REC-html401-19991224/loose.dtd"><html> <head><title>Why We Get Sick: The New Science of Darwinian Medicine by Randolph M. Nesse | LibraryThing</title> <link rel="canonical" href="https://www.librarything.com/work/139688/reviews/" /><meta name="twitter:card" content="summary" /> <meta name="twitter:site" content="LibraryThing" /> <meta name="twitter:title" content="Reviews: Why We Get Sick: The New Science of Darwinian Medicine by Randolph M. Nesse" /> <meta name="twitter:description" content="★★★★★ This is a well written book that takes a look at why people get sick from an evolutionary perspective. This book is easy enough to understand without requiring a medical/biology degree, but not so simplified that it assumes the readers are have the attention span of a gnat and the intelligence of an amoeba. This is a meat and potatoes type of book compared to the bowl full of lettuce books that seem to be common in the popular science genre these days. I do however wish the authors would update this book to include any additional information discovered/hypothesized in the last 20 years, but what they cover is still relevant and very interesting." /> <meta name="twitter:image:src" content="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SS250_SS250_SCLZZZZZZZ_.jpg" /> <meta property="og:title" content="ElentarriLT's review of Why We Get Sick: The New Science of Darwinian Medicine by Randolph M. Nesse" /> <meta property="og:type" content="review" /> <meta property="og:url" content="https://www.librarything.com/work/139688/reviews/180457672" /> <meta property="og:image" content="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SS250_SS250_SCLZZZZZZZ_.jpg" /> <meta property="og:image:width" content="250" /> <meta property="og:image:height" content="250" /> <meta property="og:site_name" content="LibraryThing.com" /> <meta property="fb:app_id" content="79305890602" /> <meta property="og:description" content="★★★★★ "This is a well written book that takes a look at why people get sick from an evolutionary perspective. This book is easy enough to understand without requiring a medical/biology degree, but not so simplified that it assumes the readers are have the attention span of a gnat and the intelligence of an amoeba. This is a meat and potatoes type of book compared to the bowl full of lettuce books that seem to be common in the popular science genre these days. I do however wish the authors would update this book to include any additional information discovered/hypothesized in the last 20 years, but what they cover is still relevant and very interesting."" /> <meta property="review:target" content="https://www.librarything.com/work/139688/book/180457672" /> <META NAME="ROBOTS" CONTENT="NOINDEX,FOLLOW"> <META NAME="description" CONTENT="All about Reviews: Why We Get Sick: The New Science of Darwinian Medicine by Randolph M. Nesse. LibraryThing is a cataloging and social networking site for booklovers"> <META NAME="keywords" CONTENT="All about Reviews: Why We Get Sick: The New Science of Darwinian Medicine by Randolph M. 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Your use of the site and services is subject to these policies and terms.</div></div></div> </div><div id="gbss"> <h1>Results from Google Books</h1> <p>Click on a thumbnail to go to Google Books.</p> <div id="gbss_content"></div> </div><div class="content reviews"><input type="hidden" name="cgtag_lb_title" value="CoverGuess Tags" id="cgtag_lb_title" class="" ><input type="hidden" name="work" value="139688" id="work" class="" ><input type="hidden" name="book" value="180457672" id="book" class="" > <table class="wrapper" width="100%" border=0> <col width="160"> <col> <col width="210"> <tr> <td class="left"><div id="maincover" class="mainleftimage"><a href="#" onclick="si_info('isbn_0679746749'); return false;"><img src="https://image.librarything.com/pics/fugue21/magnifier-left.png" class="icon"></a><a href=""><img width="180" id="mainCover" class="workCoverImage" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX360_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX540_SCLZZZZZZZ_.jpg 3x" src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX180_SCLZZZZZZZ_.jpg" alt="Why We Get Sick: The New Science of…" data-adaptive-background="1" ></a></div><div class="leftnav workleftnav alwaysblue noline"><ul><li class="first"><a href="/work/139688/summary/180457672">Main page</a></li> <li class="gap"><a href="/work/139688/workdetails/180457672">Work details</a></li> <li ><a href="/work/139688/details/180457672">Book details</a></li> <li class="gap selected"><a href="/work/139688/reviews/180457672">Reviews</a> <span class="count">(5)</span></li> <li ><a href="/work/139688/recommendations/180457672">Recommendations</a></li> <li ><a href="/work/139688/members/180457672">Members</a></li> <li ><a href="/work/139688/descriptions/180457672">Descriptions</a></li> <li ><a href="/work/139688/conversations/180457672">Conversations</a> <span class="count">(1)</span></li> <li ><a href="/work/139688/commonknowledge/180457672">Common Knowledge</a></li> <li ><a href="/work/139688/popularity/180457672">Popularity</a></li> <li ><a href="/work/139688/covers/180457672">Cover images</a></li> <li ><a href="/work/139688/editions/180457672">Editions</a></li></ul></div> </td> <td class="middle" id="middleColumn"> <div id="loading">Loading...</div><div class="headsummary"><h1>Why We Get Sick: The New Science of Darwinian Medicine <span class="date">(original 1994; edition 1996)</span></h1><h2>by <a href="/author/nesserandolphm">Randolph M. Nesse</a> (Author), <a href="/author/williamsgeorgec">George C. Williams</a> (Author)<hr></h2></div><div class="wslcontainer"><table cellpadding="0" cellspacing="0" class="wsltable"><tr class="wslheader"><td width="18%" class="firstchild">Members</td><td width="18%">Reviews</td><td width="18%">Popularity</td><td width="22%">Average rating</td><td width="25%" class="lastchild">Mentions</td></tr><tr class="wslcontent"><td valign="middle" class="firstchild"><a href="/work/139688/members">445</a></td><td valign="middle"><a href="/work/139688/reviews">5</a></td><td valign="middle"><a href="/work/139688/popularity">59,193</a></td><td valign="middle"><nobr><a href="/work/139688/members"><img src="https://image.librarything.com/pics/ss8.gif" style="margin-bottom: -2px;"></a> <span class="dark_hint">(3.8)</span></nobr></td><td valign="middle" class="lastchild"><a href="/work/139688/conversations">1</a></td></tr></table></div><div id="u_75050117" class="quickedit light"><div class="nav"><span class="navInfoTitle" style="margin-left: .75em;">ElentarriLT's review</span></div></div><div class="simpleSection" id="shareid" style="max-width: 100% !important;"><div class="bookReview"><div class="bookReview_content"><div id="brtext_180457672" class="commentText brslop"><div class="brev_cover"><a href="/work/0" data-workid="0" class="" ><img src="https://pics.cdn.librarything.com/picsizes/be/50/be50cb8a8dcd004597745414141426b41414141_v5.jpg" srcset="https://pics.cdn.librarything.com/picsizes/d2/ea/d2ea7476099ba1d597745414141444941414141_v5.jpg 2x, https://pics.cdn.librarything.com/picsizes/01/37/013749e2b880e21597745414141417341514141_v5.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>This is a well written book that takes a look at why people get sick from an evolutionary perspective. This book is easy enough to understand without requiring a medical/biology degree, but not so simplified that it assumes the readers are have the attention span of a gnat and the intelligence of an amoeba. This is a meat and potatoes type of book compared to the bowl full of lettuce books that seem to be common in the popular science genre these days.<br><br>I do however wish the authors would update this book to include any additional information discovered/hypothesized in the last 20 years, but what they cover is still relevant and very interesting. <span class="rating">( <img src="https://image.librarything.com/pics/ss10.gif"> )</span></div><div id="rfd_180457672" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_180457672"> </span> </span><span class="reviewFlags"> <img id="rfi1_180457672" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_180457672" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_180457672"> </span></span></span> <span class="controlItems ci3"><a href="/profile/ElentarriLT" target="_top">ElentarriLT</a> | Mar 24, 2020 | <a href="/review/180457672"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div></div> <div id="u_7c2b3b36" class="quickedit light"><div class="nav"><span class="navInfoTitle" style="margin-left: .75em;">All member reviews</span></div></div><div id="wp_reviews" class="simpleSection"><div class="workSection"><div class="review_showing_pages"></div><div id='mainreviews_reviewnav' class='reviewnav'><div class="right"><strong><a href="#" onclick="loadReviewsIntoContainer('',0,3,3,'wp_reviews',25,'','139688','',false, null, 'profile');return false;">date<span class="sortArrow"> ▼</span></a></strong> | <a href="#" onclick="loadReviewsIntoContainer('',0,2,3,'wp_reviews',25,'','139688','',false, null, 'profile'); return false;">votes</a></div>Showing 5 of 5 </div><div class="bookReview"><div class="bookReview_content"><div id="brtext_246851832" class="commentText brslop"><div class="brev_cover"><a href="/work/139688" data-workid="139688" class="" ><img src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX100_SCLZZZZZZZ_.jpg" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX200_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX300_SCLZZZZZZZ_.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>A really excellent, if slightly outdated, resource on the Darwinistic underpinings of our responses to disease. By far the best part of the book was the table categorizing disease responses (protective v. quirks v. secondary purpose). The book may have been made slightly stronger if it stuck more strictly to the topic of disease; however, as an introduction to the rigorous scientific ideas behind Darwinism, it was made richer by the discussions of pregnancy, foodstuffs, kin altruism and selfish gene phenomena. Thoroughly enjoyable, although not much new for the already versed reader. <span class="rating">( <img src="https://image.librarything.com/pics/ss8.gif"> )</span></div><div id="rfd_246851832" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_246851832"> </span> </span><span class="reviewFlags"> <img id="rfi1_246851832" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_246851832" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_246851832"> </span></span></span> <span class="controlItems ci3"><a href="/profile/settingshadow" target="_top">settingshadow</a> | Aug 19, 2023 | <a href="/review/246851832"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div><div class="bookReview"><div class="bookReview_content"><div id="brtext_180457672" class="commentText brslop"><div class="brev_cover"><a href="/work/139688" data-workid="139688" class="" ><img src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX100_SCLZZZZZZZ_.jpg" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX200_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX300_SCLZZZZZZZ_.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>This is a well written book that takes a look at why people get sick from an evolutionary perspective. This book is easy enough to understand without requiring a medical/biology degree, but not so simplified that it assumes the readers are have the attention span of a gnat and the intelligence of an amoeba. This is a meat and potatoes type of book compared to the bowl full of lettuce books that seem to be common in the popular science genre these days.<br><br>I do however wish the authors would update this book to include any additional information discovered/hypothesized in the last 20 years, but what they cover is still relevant and very interesting. <span class="rating">( <img src="https://image.librarything.com/pics/ss10.gif"> )</span></div><div id="rfd_180457672" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_180457672"> </span> </span><span class="reviewFlags"> <img id="rfi1_180457672" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_180457672" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_180457672"> </span></span></span> <span class="controlItems ci3"><a href="/profile/ElentarriLT" target="_top">ElentarriLT</a> | Mar 24, 2020 | <a href="/review/180457672"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div><div class="bookReview"><div class="bookReview_content"><div id="brtext_92074397" class="commentText brslop"><div class="brev_cover"><a href="/work/139688" data-workid="139688" class="" ><img src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX100_SCLZZZZZZZ_.jpg" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX200_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX300_SCLZZZZZZZ_.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>Excellent introduction to Darwinian medicine, with good examples of how an evolutionary perspective adds to our understanding of the origins of disease. While medicine usually focus on the "proximate causes" of disease (such as viral or bacterial agents, or inflammatory processes), we can learn much from also examining the "ultimate" or evolution-derived causes, which would include our genetic inheritance formed by mutation and natural selection, and especially by mismatches between our current resource-rich environments and the "environment of evolutionary adaptation" of our paleolithic ancestors.<br><br>Note that while the Kindle edition is (c) 2012, the book was published in 1996 and has not been revised. <span class="rating">( <img src="https://image.librarything.com/pics/ss10.gif"> )</span></div><div id="rfd_92074397" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_92074397"> </span> </span><span class="reviewFlags"> <img id="rfi1_92074397" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_92074397" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_92074397"> </span></span></span> <span class="controlItems ci3"><a href="/profile/bodhisattva" target="_top">bodhisattva</a> | Dec 3, 2012 | <a href="/review/92074397"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div><div class="bookReview"><div class="bookReview_content"><div id="brtext_46750104" class="commentText brslop"><div class="brev_cover"><a href="/work/139688" data-workid="139688" class="" ><img src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX100_SCLZZZZZZZ_.jpg" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX200_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX300_SCLZZZZZZZ_.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>Slightly dated, yet interesting read on approaching medicine with a view based on Darwinian science. Authors do a good job taking topics normally covered in freshman biology and expand on them to make them more readable. Authors frequently mention Margie Profet who is interesting to read about in her own regard. <span class="rating">( <img src="https://image.librarything.com/pics/ss6.gif"> )</span></div><div id="rfd_46750104" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_46750104"> </span> </span><span class="reviewFlags"> <img id="rfi1_46750104" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_46750104" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_46750104"> </span></span></span> <span class="controlItems ci3"><a href="/profile/pbirch01" target="_top">pbirch01</a> | Jul 8, 2009 | <a href="/review/46750104"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div><div class="bookReview"><div class="bookReview_content"><div id="brtext_2744080" class="commentText brslop"><div class="brev_cover"><a href="/work/139688" data-workid="139688" class="" ><img src="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX100_SCLZZZZZZZ_.jpg" srcset="https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX200_SCLZZZZZZZ_.jpg 2x, https://images-na.ssl-images-amazon.com/images/P/0679746749.01._SX300_SCLZZZZZZZ_.jpg 3x" class="bookReview_cover cover" /></a></div><div class="commentHeader"></div>Offers fresh and illuminating ideas about disease, allergy, parenting, sex, and civilisation, all in the context of modern evolutionary theory. <span class="rating">( <img src="https://image.librarything.com/pics/ss7.gif"> )</span></div><div id="rfd_2744080" class="reviewFlagDialogBox"></div><div class="commentFooter"><span class="reviewMods"><span class="reviewVoteInfo"><span class="reviewVoteCount" id="rvc_2744080"> </span> </span><span class="reviewFlags"> <img id="rfi1_2744080" src="https://image.librarything.com/pics/flag-trans.gif"> <img id="rfi2_2744080" src="https://image.librarything.com/pics/flag-trans.gif"><span id="rfrf_2744080"> </span></span></span> <span class="controlItems ci3"><a href="/profile/stancarey" target="_top">stancarey</a> | Oct 6, 2006 | <a href="/review/2744080"><img src="https://image.librarything.com/pics/permalink.gif" width="16" height="7"></a></span> </div></div></div><div class='reviewnav'><div class="right"><strong><a href="#" onclick="loadReviewsIntoContainer('',0,3,3,'wp_reviews',25,'','139688','',false, null, 'profile');return false;">date<span class="sortArrow"> ▼</span></a></strong> | <a href="#" onclick="loadReviewsIntoContainer('',0,2,3,'wp_reviews',25,'','139688','',false, null, 'profile'); return false;">votes</a></div>Showing 5 of 5 </div></div></div></span></div> </td> <td class="right"> <div class="greenbox currentdiscussions" style="position: relative;"><h2>Current Discussions</h2>None</div><div class="greenbox popularcovers"><h2>Popular covers</h2><div 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