Scepticism and public health: On the problem of disease for the collective

This paper argues that modern society does not meet the problems posed by the experience of disease in a satisfactory way. It attempts to show this by examining the distinction between disease and plague. Disease is formulated as necesssarily involving the self in unforeseeable ways with what is other to itself: the challenge of disease is treated as the challenge of this involvement. On the other hand, plague as an abstract threat is that towards which the collective shows principled indifference. The strength and the limits of this indifference are explored. Subsequent upon this, the paper examines the consequences of the loss of the distinction between disease and plague, particularly with respect to the implications of that loss for the treatment, management, and control of disease in modern society.