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After thirty years on the field promoting healthcare within a community approach, the author is convinced that the abuse of evaluation (not everything can be evaluated) negatively affects the structures themselves, especially associations, and demobilizes the actors, who are confronted by an increasingly perverse technique of social control under the guise of legitimate accounts to the donors. Evaluation as an end in itself quashes the desire to act and neutralizes the smaller structures on the field as empirical and quality-oriented relays of public health policies to the population (shortly after being celebrated as a real treasure of citizenship on the centenary of the 1901 French law on associations). This destructive process is a reflection of what occurs in the Anglo-Saxon world with what might be termed the thanato-scientistic narrowing of the very substance of healthcare. The only alternative for resistance would seem to be a slower, community-based form of assessment.