The Ecology of Care: Medicine, Agriculture, Money, and the Quiet Power of Human and Microbial Communities

What can Cuban doctors, innovative ranchers in Saskatchewan, and the microbiome teach us about how to care for people and the Earth at the same time?


In this richly layered book, Didi Pershouse takes us on a fast-moving, sharp-witted journey through her own life: from growing up with the neurosurgeon who accidentally discovered the seat of memory in the brain, to working in a smoke-filled office at New York magazine, to her career as an innovative acupuncturist in Vermont, and on to a passion for close-knit communities, grazing cows, and soil restoration as solutions to much of what ails us.

Along the way, she unfolds a surprising new take on the story of our time: how the germ theory of disease joined with a profit-based economy, and unwittingly led to a “sterilization” of medicine, agriculture, and even our social lives. This 150-year detour has brought about the near destruction of our climate as well as a great forgetting of the power of connection.

By documenting a scientific understanding of the intelligence of the whole, Pershouse nudges us awake with a hopeful view and shows us how to reclaim the rich, “fertile” lives we are meant for.