рождение клиники перечитай, например
https://en.wikipedia.org/wiki/Madness_and_Civilization
https://en.wikipedia.org/wiki/The_Birth_of_the_Clinic
там гораздо лучше написано

медицина это тоже форма власти
и коллективное сословие медиков
есть носитель этой власти

вот, кстати, смешная рецензия на эту книгу
из медицинского журнала
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662436/

Foucault's The Birth of the Clinic should be read by all
reflective doctors. Foucault develops the concept of 'the
medical gaze', describing how doctors modify the patient's
story, fitting it into a biomedical paradigm, filtering
out non-biomedical material. A 'gaze' is an act of
selecting what we consider to be the relevant elements of
the total data stream available to our senses. Doctors
tend to select out the biomedical bits of the patients'
problems and ignore the rest because it suits us best that
way.

Foucault's charge is that doctors are doctor-oriented, not
patient-oriented, and thus medicine creates an abusive
power structure. Medical school has taught us more about
biomedicine than about patients. The medical tribe tends
to dominate rather than share. We control, stick people
into appointment slots, strand them in waiting rooms, QOF
them, and talk above their heads.