Tuesday, August 31, 2010

U.S. Healthcare: When Is Enough Enough?

A Medical Writer's Musings on Medicine, <a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a> Care, and the Writing Life

A new survey in the journal healthaffairs.org/cgi/content/abstract/hlthaff.2009.0296v1" >Health Affairs synthesizes nearly everything I believe is wrong with the U.S. healthcare system. The survey found that patients believe that more care is better, that the latest and most expensive treatments are the best, that none of their doctors provide substandard care, and that evidence-based guidelines are a pretext for denying them the care they need and deserve.


Sigh.


Until we can retrain consumers (that would be all of us) to understand that in medicine more is NOT better, that evidence-based guidelines may translate in some instances into less but better care, that doctors are falliable and should be questioned, and that the cost of a treatment has nothing to do with the quality, we will never get out of the healthcare quagmire in which we find ourselves.


Your thoughts?



                       

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