The Architecture of Administrative Custody: How Medicalization, Technological Surveillance, and the Myth of Multidisciplinary Integration Sabotage Individual Sovereignty in Public Health

Abstract

Contemporary public health and social welfare systems operate under a foundational contradiction: while publicly committed to restoring autonomy, they structurally manufacture chronic institutional dependency. This paper articulates the framework of Administrative Custody, demonstrating how modern care institutions systematically erode individual agency. We analyze four interconnected vectors of systemic failure: (1) the conflation of etiology with management that encourages individual psychological escape into the "sick role," (2) the clinical monopolization over post-acute health governance, (3) the institutionalization of "multidisciplinary integration" as an administrative shield for decoupling and blame avoidance, and (4) the perversion of assistive technology into non-consensual digital surveillance. By examining these structural incentives, this paper reveals that public health systems fail to foster reintegration not due to technical inefficiency, but because institutional self-preservation relies on the perpetual management of passive beneficiaries. We conclude by proposing a sovereign health paradigm that restores personal agency as the ultimate measure of recovery.