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Editorial Reviews
From Publishers Weekly
According to Abramson, Americans are overmedicated and overmedicalized as a result of the commercialization of health care. Falling prey to marketing campaigns, we demand unnecessary and expensive drugs and procedures, believing they constitute the best possible medical care. Wrong, says Abramson: though more post–heart attack procedures are performed in the U.S. than in Canada, one-year survival rates are the same. Similarly, notes Abramson, a former family practitioner who teaches at Harvard Medical School, we spend more on high-tech neonatology than other Western countries but have a higher infant-mortality rate because of inattention to low-tech prenatal care. Abramson deconstructs the scientific sleight of hand in presenting clinical trial results that leads to the routine prescription of pricey cholesterol-lowering drugs even when their effectiveness has not been proven; he examines what he calls "supply-sensitive medical services"—the near-automatic use of medical technologies, such as cardiac catheterization, less because they are needed than because they are available. Abramson's bottom line: "More care doesn't necessarily mean better care." Arguing firmly that doctors should focus more on lifestyle changes to improve health, Abramson seems less credible when he writes off depression as "exercise-deficiency disease" and disposes of cancer in little more than a page. Still, he makes a powerful and coherent case that American medicine has gone badly astray and needs a new paradigm—one untainted by profits.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Review
"Abramson’s book will have you rethinking your relationship with your doctor and your health." -- The Oregonian (Portland)
"Acompelling and well-documented analysis... a book every American should read." -- Elliott Fisher, MD, MPH, Professor of Medicine, Dartmouth Medical School
See all Editorial Reviews
According to Abramson, Americans are overmedicated and overmedicalized as a result of the commercialization of health care. Falling prey to marketing campaigns, we demand unnecessary and expensive drugs and procedures, believing they constitute the best possible medical care. Wrong, says Abramson: though more post–heart attack procedures are performed in the U.S. than in Canada, one-year survival rates are the same. Similarly, notes Abramson, a former family practitioner who teaches at Harvard Medical School, we spend more on high-tech neonatology than other Western countries but have a higher infant-mortality rate because of inattention to low-tech prenatal care. Abramson deconstructs the scientific sleight of hand in presenting clinical trial results that leads to the routine prescription of pricey cholesterol-lowering drugs even when their effectiveness has not been proven; he examines what he calls "supply-sensitive medical services"—the near-automatic use of medical technologies, such as cardiac catheterization, less because they are needed than because they are available. Abramson's bottom line: "More care doesn't necessarily mean better care." Arguing firmly that doctors should focus more on lifestyle changes to improve health, Abramson seems less credible when he writes off depression as "exercise-deficiency disease" and disposes of cancer in little more than a page. Still, he makes a powerful and coherent case that American medicine has gone badly astray and needs a new paradigm—one untainted by profits.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Review
"Abramson’s book will have you rethinking your relationship with your doctor and your health." -- The Oregonian (Portland)
"Acompelling and well-documented analysis... a book every American should read." -- Elliott Fisher, MD, MPH, Professor of Medicine, Dartmouth Medical School
See all Editorial Reviews
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First Sentence:
The air was hot and muggy even by Amazon standards. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
other medical industries, defibrillator study, most respected medical journals, cholesterol guidelines, serious cardiovascular complications, commercial takeover, prescription drug bill, drug ads, drug reps, statin therapy, health policy experts, serious gastrointestinal complications, statin drugs, developing coronary heart disease, cardiac procedures, cholesterol particles, updated guidelines, heart attack patients Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, New York Times, Sister Marguerite, New England Journal of Medicine, Eli Lilly, Los Angeles Times, American Heart Association, Johns Hopkins, The Lancet, Harvard Medical School, National Institutes of Health, Bristol-Myers Squibb, Health Study, Lyon Diet Heart Study, United Kingdom, World Health Organization, Health Affairs, American College of Physicians, Boston Globe, David Willman, Framingham Heart Study, Heart Protection Study, Joseph Meister, Washington Post, Women's Health Initiative New!
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The air was hot and muggy even by Amazon standards. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
other medical industries, defibrillator study, most respected medical journals, cholesterol guidelines, serious cardiovascular complications, commercial takeover, prescription drug bill, drug ads, drug reps, statin therapy, health policy experts, serious gastrointestinal complications, statin drugs, developing coronary heart disease, cardiac procedures, cholesterol particles, updated guidelines, heart attack patients Key Phrases - Capitalized Phrases (CAPs): (learn more)
United States, New York Times, Sister Marguerite, New England Journal of Medicine, Eli Lilly, Los Angeles Times, American Heart Association, Johns Hopkins, The Lancet, Harvard Medical School, National Institutes of Health, Bristol-Myers Squibb, Health Study, Lyon Diet Heart Study, United Kingdom, World Health Organization, Health Affairs, American College of Physicians, Boston Globe, David Willman, Framingham Heart Study, Heart Protection Study, Joseph Meister, Washington Post, Women's Health Initiative New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Front Flap | Table of Contents | First Pages | Index | Back Flap | Back Cover | Surprise Me!
Citations (learn more)
This book cites 53
books:
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7
books
cite this book:
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- Mirage of Health: Utopias, Progress & Biological Change by Rene J. Dubos in Back Matter (1), Back Matter (2), and Back Matter (3)
- The Wisdom of Menopause by Christiane Northrup on page 59, Back Matter (1), and Back Matter (2)
- The Structure of Scientific Revolutions by Thomas S. Kuhn on page 202, Back Matter (1), and Back Matter (2)
- Sickness and Healing: An Anthropological Perspective by Mr. Robert A. Hahn in Back Matter (1), and Back Matter (2)
- Science, Truth, and Democracy (Oxford Studies in the Philosophy of Science) by Philip Kitcher on page 242, and Back Matter
See all 53 books this book cites
- Profits before People?: Ethical Standards and the Marketing of Prescription Drugs (Bioethics and the Humanities) by Leonard J. Weber on 4 pages
- Global Pharmaceuticals: Ethics, Markets, Practices by Adriana Petryna in Back Matter
- Financialization and Strategy: Narrative and Numbers by Julie Froud on page 204
- The Truth About Health Care: Why Reform Is Not Working in America (Critical Issues in Health and Medicine) by David Mechanic in Back Matter
- A Democracy Built to Last: Green/Populist Steps toward a Livable Future by Robert Beattie in Back Matter
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