PDF-(BOOK)-Less Medicine, More Health: 7 Assumptions That Drive Too Much Medical Care

The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive often ineffective and sometimes harmful medical care  You might think the biggest problem in medical care is that it costs too much Or that health insurance is too expensive too uneven too complicatedand gives you too many forms to fill out But the central problem is that too much medical care has too little value Dr H Gilbert Welch is worried about too much medical care Its not to deny that some people get too little medical care rather that the conventional concern about too little needs to be balanced with a concern about too much too many people being made to worry about diseases they dont haveand are at only average risk to get too many people being tested and exposed to the harmful effects of the testing process too many people being subjected to treatments they dont needor cant benefit from The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness Surprisingly medical care is not in fact well correlated with good health So more medicine does not equal more health in reality the opposite may be true The general public harbors assumptions about medical care that encourage overuse assumptions like its always better to fix the problem sooner or newer is always better or it never hurts to get more information Less Medicine More Health pushes against established wisdom and suggests that medical care can be too aggressive Drawing on his twentyfive years of medical practice and research Dr Welch notes that while economics and lawyers contribute to the excesses of American medicine the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatmentsa number of which are just plain wrong By telling fascinating and occasionally amusing stories backed by reliable data Dr Welch challenges patients and the healthcare establishment to rethink some very fundamental practices His provocative prescriptions hold the potential to save money and more important improve health outcomes for us all. 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