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Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer





Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer
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Manufacturer: Bloomsbury USA
Written By: Shannon Brownlee

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Binding: Hardcover
Dewey Decimal Number: 362.10973
EAN: 9781582345802
ISBN: 1582345805
Label: Bloomsbury USA
Manufacturer: Bloomsbury USA
Number Of Items: 1
Number Of Pages: 352
Publication Date: 2007-09-18
Publisher: Bloomsbury USA
Release Date: 2007-09-18
Studio: Bloomsbury USA

Editorial Reviews for Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer

Though touted as perhaps the best in the world, the American medical system is filled with hypocrisies. Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Using vivid examples of real patients and physicians, Overtreated debunks the idea that most of medicine is based in sound science, and shows how our health care system delivers huge amounts of unnecessary care that is not only expensive and wasteful but can actually imperil the health of patients.
The interests of politicians and the medical-industrial complex continually trump those of patients, seducing the wealthy with unnecessary procedures and leaving the poor with haphazard access to treatment. Backward economic incentives allow patients with chronic conditions to receive ineffective care, and roll after roll of red tape undermines even the best-intentioned doctors. Tens of thousands of patients die each year from overtreatment. American medicine is in desperate need of fixing.
Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. Americans worry about rationing—that any effort to rein in the high cost of health care will result in limited access to life-saving treatments. Covering the uninsured seems like an insurmountable problem because it will drive up costs even more. Overtreated offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee’s humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.



Consumer reviews:

Customer Rating: Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5
Summary: tremendous book
Comment: This is just a great book. I have long thought that health insurance costs are way out of line because we are just made to have too many procedures and tests. This has become protocol and everyone has bought into it. I've read many books and articles lately that show that all this testing has not actually produced more health among Americans. Not to mention the fact that this approach also makes us all feel that we are not healthy, and makes us fearful all the time of what may be wrong and what the tests may show. This creation of fear and dread among healthy people is worse than the waste of money. The body has incredible healing powers of its own. A lot of the interventions by doctors creates "patients" when we would have been better left alone. It's a bad way to live, but everyone is convinced that all this stuff is necessary. I hope this book takes off and opens the eyes of many.

Customer Rating: Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5
Summary: Excellent book!
Comment: This is an excellent book detailing how pharmaceutical companies have fostered over-medication on the public in the name of profits.

Customer Rating: Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5
Summary: Root cause for spiraling health care costs in the US
Comment: This country has spent a lot of time agonizing over health care delivery and costs ever since medicare was introduced in the 1960's. Since then, health care costs have increased at rates much higher than inflation causing health care to become unaffordable to many people and a huge economic burden on US businesses that must supply health care insurance to their employees. The way things are headed, Medicare will soon be insolvent (it's a much bigger problem than social security) and even more people will be uninsured.

Against the clatter of partisan politics and special interest obfuscation, this book prevents a well-researched, evidence-based discussion of one the main driving factors behind the perverse economics of health care. Until people and politicians understand the root causes of the problem, the problem can't be solved. I hope people read this book because it's a big step forward towards a solution.

Customer Rating: Average rating of 3/5Average rating of 3/5Average rating of 3/5Average rating of 3/5Average rating of 3/5
Summary: Healthcare System Misdiagnosis
Comment: The author clearly documents how our healthcare system frequently wastes resources on unnecessary scans and procedures due to a number of reasons including, demands of the patient, doctor's personal beliefs in a procedure, and the economic incentive of more procedures resulting in more profit.

From the author's perspective, over treatment is the problem and the solution is better assessments of what scans and treatments are needed, part of which includes communication between the doctor and patient. When the patient understands and can weigh the potential risks and benefits, he or she is likely to be more conservative than the doctor, resulting in less care by direction of the patient.

What the author overlooks is the patient's lack of consideration of cost. In nearly any other transaction in our economy, the customer would not only evaluate risk and benefit but also cost. Over treatment is not the core problem, but a symptom of the problem. The problem is our healthcare system is a big all you can eat buffet where your personal consumption has little or no impact on your cost. As the community eats more and more, the buffet price goes up for everyone. Meanwhile the cooks are profit motivated for you to eat more. The expensive dishes are being promoted while the cheaper ones may not even be displayed unless you ask for them by name.

Pharmaceutical companies, medical device manufacturers, hospitals and physicians need to have the same market pressures that nearly every other business has, that their product or service be affordable to their customer and it's benefits outweigh it's cost, otherwise there will be no sale and thus no profit. Insurance works against this basic virtue of the free market. A system that gives the customer an incentive to shop and consider costs, such as HSA's, is what is truly missing from America's healthcare system. Over treatment is merely a symptom of the underlying problem.


Customer Rating: Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5Average rating of 5/5
Summary: Excellent and important book
Comment: "Overtreated" is a superb book for both experts and non-experts who want to learn more about health care in the U.S. It does a great job of explaining two important realities that are initially difficult for most people to grasp and accept: (1) modern medicine involves a lot more clinical uncertainty than most individuals realize and that the medical profession admits, and (2) that our current models for paying medical providers--hospitals, doctors, drug companies, home health providers, and others--routinely creates numerous perverse incentives, lower quality health outcomes, and lots of unnecessary and potentially dangerous medical care. While reading this book, it is important to remind oneself that a lot of what modern medicine offers is extraordinarily helpful and life-saving/life-extending, and that no one would want go back to what "medicine" provided prior to the 20th century. In fairness, Shannon Brownlee does do a commendable job of trying to help readers remember this throughout "Overtreated."

Great book! Highly recommended!


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