This is a pretty interesting read, and it might surprise you.
This excerpt more or less distills it down to an easily digestible nugget:
The numbers of people who need to be treated for one to benefit are so high because so few will get the disease the preventive is meant to avert. It's like treating every house for termites, said Neumann, co-author of the Robert Wood Johnson report: The vast majority would never have gotten infested in the first place, so the thousands spent to avoid the infestation is money for nothing.
It is a melancholy reflection that liberty should be equally exposed to danger whether the Government have too much or too little power, and that the line which divides these extremes should be so inaccurately defined by experience.
-- James Madison to Thomas Jefferson, October 17, 1788.
Post by Nice Kitty on Jan 29, 2013 11:14:34 GMT -5
Just wait until your next mammogram to complain.
I think that certain preventive actions are widely helpful; i.e. improving the average American's diet and nutrient consumption (shifting us away from our unhealthy addiction to white flour and sugar--yum--to a diet of more whole grains and fresh vegetables and lean meat).
But, in general, yeah. The likelihood of getting certain diseases means that our health preventative efforts should model what happens in other types of prevention/intervention...focus in on individuals with multiple risk factors for specific illnesses, and work to change their behaviors and level of risk.
In other words, targeted prevention rather than primary prevention, which targets an entire population with the same types of prevention activities.
There's preventive medicine and a good part of that is defensive medicine. Why the first step in healthcare reform to make it more affordable to most was not tort reform is beyond me.
"Despite its poor track record, the malpractice system in the United States imposes a heavy social cost—as much as $2,500 per household per year, including defensive medicine, at today’s prices. And it may be making hospitals less safe than they otherwise would be.
The malpractice system distorts the incentives of doctors and hospitals by encouraging them to make malpractice events as rare as possible, even if in doing so, they increase the number of other adverse events. As explained in our Health Affairs study, the system encourages doctors to order more blood tests and other procedures in order to reduce the risk of malpractice litigation, even though these procedures may put patients at additional risk."
"Vanderbilt University Medical Center researchers estimate that U.S. orthopaedic surgeons create approximately $2 billion per year in unnecessary health care costs associated with orthopaedic care due to the practice of defensive medicine.
Defensive medicine is the practice of ordering additional but unnecessary tests and diagnostic procedures that may later help exonerate physicians from accusations of malpractice. However, these additional costs result in no significant benefit to patients’ care.
Published in the February issue of the American Journal of Orthopedics, the study suggests unnecessary costs associated with the practice of defensive medicine play a substantial role in the nation’s rising cost of health care.
I am an American. That's the way most of us put it, just matter of factly. They are plain words, those four. You could write them on your thumbnail, or you could sweep them clear across a bright autumn sky. But remember too, that they are more than words. They are a way of life. So whenever you speak them, speak them firmly; speak them proudly; speak them gratefully. I am an American. ... a tradition
plasmaball: Yes a woman's Orgasm is like trying to spot the wild snow leopard. You must wait weeks upon maybe months and if you are lucky you might spot a small puddle from this cunning creature called the orgasm. its more like sometimes you have to fake it because
Feb 7, 2013 12:05:17 GMT -5
plasmaball: we find you boring.
Feb 7, 2013 12:05:22 GMT -5
LadyGunSlinger: Your psychobabble is just that and shows you don't know shit about a woman's body.
Feb 7, 2013 12:27:10 GMT -5
plasmaball: sigh sarcasm is lost on the stupid. dear the womans body is not a rubix cube.
Feb 7, 2013 12:37:53 GMT -5
LadyGunSlinger: As if I am suppose to be able to discern your attitude over the interwebz??
Feb 7, 2013 12:44:55 GMT -5