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Less Medicine, More Health

7 Assumptions That Drive Too Much Medical Care

Gilbert Welch

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English
Beacon Press
01 September 2018
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 complicated and 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. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care 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.

By:  
Imprint:   Beacon Press
Country of Publication:   United States
Dimensions:   Height: 229mm,  Width: 152mm,  Spine: 17mm
Weight:   374g
ISBN:   9780807077580
ISBN 10:   0807077585
Pages:   240
Publication Date:  
Audience:   General/trade ,  ELT Advanced
Format:   Paperback
Publisher's Status:   Active
INTRODUCTION: Our enthusiasm for everything medical ASSUMPTION #1: ALL RISKS CAN BE LOWERED Disturbing truth: Risks can't always be lowered-and trying creates risks of its own ASSUMPTION #2: IT'S ALWAYS BETTER TO FIX THE PROBLEM Disturbing truth: Trying to eliminate a problemcan be more dangerous than managing one ASSUMPTION #3: SOONER IS ALWAYS BETTER Disturbing truth: Early diagnosis can needlessly turn people into patients ASSUMPTION #4: IT NEVER HURTS TO GET MORE INFORMATION Disturbing truth: Data overload can scare patients and distract your doctor from what's important ASSUMPTION #5: ACTION IS ALWAYS BETTER THAN INACTION Disturbing truth: Action is not reliably the right choice ASSUMPTION #6: NEWER IS ALWAYS BETTER Disturbing truth: New interventions are typically not well tested and oft en wind up being judged ineffective (even harmful) ASSUMPTION #7: IT'S ALL ABOUT AVOIDING DEATH Disturbing truth: A fixation on preventing death diminishes life CONCLUSION: Seeking medical care is not the most important thing you can do for your health Acknowledgments Notes Index

Dr. H. Gilbert Welch is an academic physician, a professor at Dartmouth Medical School, and a nationally recognized expert on the effects of medical testing. He has been published in the Los Angeles Times, New York Times, Washington Post, and Wall Street Journal, and has appeared on Today. Dr. Welch is the author of three previous books, including the highly acclaimed Overdiagnosed. He lives in Thetford, Vermont.

Reviews for Less Medicine, More Health: 7 Assumptions That Drive Too Much Medical Care

Avoiding medical jargon, Welch speaks directly to the layperson and focuses on certain assumptions that have increased consumption in a market-driven society; some of which have become so ingrained by popular media that refuting them seems downright scandalous Welch s words, though wise beyond money, border on sacrilege in a country of generally healthy people who have developed an expensive health-care habit and who are expected to support a lucrative health-care industry. Welch s conversational style makes his prescription for better health an easy pill to swallow. Booklist, starred review A bright, lively discussion of the excesses of medical care to which patients often unwittingly go due to certain false assumptions Welch demonstrates the flaws in these assumptions. His stories involve the risks, uncertainties and harms of cancer screenings, treatments for heart disease, drugs, medical devices and surgical procedures. He makes an especially strong case for the risks of mass screenings for cancer the fear, the false alarms, the overdiagnoses and the resulting overtreatments. Vivid images make what could be discouragingly technical quite understandable Welch's engaging style and touches of humor make this an easy read, and the facts he presents make a convincing case. Kirkus Reviews Read this book. It is smart, witty, wonderfully written, and above all wise. We've overmedicalized life and yet we need medicine throughout our lives. No one explains better when we do, when we don't, and why. Atul Gawande, author of Complications and Being Mortal Wise, witty, fascinating and alarmingly persuasive this is a bookeveryone should read, especially my doctor. Bill Bryson, author of A Short History of Nearly Everything With the style of a trustworthy country doctor, Welch, an academic heavyweight, urges us to reject the allure of reducing all health risks by using the latest technology to gather all the data and to fix the problems sooner rather than later. Showing the dangers of our ill-informed enthusiasm for medicine, he brilliantly builds the case for respecting its power and limitations: to seek it when ill and all but avoid it when healthy. Victor M. Montori, MD, Professor of Medicine, Mayo Clinic Gil Welch's latest book shows us exactly how too much medical care can be harmful and even deadly. This is a needed corrective to the American attitude that the more screening and testing, the healthier we will be. Marcia Angell, author of The Truth About Drug Companies Its title, Less Medicine, More Health, sums up his trenchant, point-by-point critique of test-based health care and quality control. New York Times


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