The Covid-19 pandemic has shown the need for a fresh look at health and health care. This book offers a philosophical critique of medicine as applied science, but more positively it stresses the social causes of disease and argues for greater equity in the distribution of resources and the benefits of a wider evidence-base for medical treatments. The suggested approach requires a new direction for medical ethics, one which uses the arts and humanities and leads to a revised idea of medical education and medical professionalism. The suggested approach implies a move away from the individualistic philosophy of medicine towards a new aim — community-based quality of life. The achievement of this aim certainly requires an expansion of public health medicine and health promotion but it also requires medical co-operation with the many arts and other community agencies concerned with our health and well-being. Doctors and other health professionals must work through the community rather than on it.