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Less Medicine, More Health: 7 Assumptions That Drive Too Much Medical Care
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A nationally recognized expert describes seven widespread assumptions that encourage excessive, ineffective, and sometimes harmful medical carefor readers of Overdiagnosed and Malcolm GladwellYou 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. He doesnt deny that some people get too little medical carerather 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 have and 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 need or 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. More medicine does not equal more health; in reality the opposite may be true.In Less Medicine, More Health, Dr. Welch pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his twentyfive years of medical practice and research, he 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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