Randolph M. Nesse Quotes & Sayings

If you could make male mortality rates the same as female rates, you would do more good than curing cancer. — Randolph M. Nesse

Why has the medical profession not taken advantage of the help available from evolutionary biology, a well-developed branch of science with great potential for providing medical insights? One reason is surely the pervasive neglect of this branch of science at all educational levels. Religious and other sorts of opposition have minimized the impact in general education of Darwin's contributions to our understanding of ourselves and the world we live in. — Randolph M. Nesse

I can't prove it, but I'm pretty sure that people gain a selective advantage from believing in things they can't prove. — Randolph M. Nesse

Even our behavior and emotions seem to have been shaped by a prankster. Why do we crave the very foods that are bad for us but have less desire for pure grains and vegetables? Why do we keep eating when we know we are too fat? And why is our willpower so weak in its attempts to restrain our desires? Why are male and female sexual responses so uncoordinated, instead of being shaped for maximum mutual satisfaction? Why are so many of us constantly anxious, spending our lives, as Mark Twain said, "suffering from tragedies that never occur"? Finally, why do we find happiness so elusive, with the achievement of each long-pursued goal yielding not contentment, but only a new desire for something still less attainable? The design of our bodies is simultaneously extraordinarily precise and unbelievably slipshod. It is as if the best engineers in the universe took every seventh day off and turned the work over to bumbling amateurs. — Randolph M. Nesse

The body is a bundle of careful compromises. — Randolph M. Nesse

Every textbook description of a disease should have, in our opinion, a section devoted to its evolutionary aspects. This section should address the following questions: 1. Which aspects of the syndrome are direct manifestations of the disease, and which are actually defenses? 2. If the disease has a genetic component, why do the responsible genes persist? 3. Do novel environmental factors contribute to the disease? 4. If the disease is related — Randolph M. Nesse

Natural selection involves no plan, no goal, and no direction - just genes increasing and decreasing in frequency depending on whether individuals with those genes have, relative to other individuals, greater or lesser reproductive success. — Randolph M. Nesse

Darwinism gives no moral guidelines about how we should live or how doctors should practice medicine. A Darwinian perspective on medicine can, however, help us to understand the evolutionary origins of disease, and this knowledge will prove profoundly useful in achieving the legitimate goals of medicine. — Randolph M. Nesse