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Butchered by “Healthcare”: What to Do About Doctors, Big Pharma, and Corrupt Government Ruining Your Health and Medical Care Kindle Edition
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From the Author
--Rene Leriche, La philosophie de la chirurgie, 1951
In the summer of 2013, when I was 61, I had two women in their 30s die in my surgical center. I sent them to the emergency room, but nothing worked. It was my place, so I was responsible. It was the worst period of my life. I felt guilty and was sleepless, and my wife thought we would have to give up our practice.
I did not learn why it happened until the autopsy reports came back six months later. One woman had an "embolus" of fat blocking her lungs. This occurs unpredictably, and there is no means to prevent it.
The second had a high local anesthetic blood level. We inject this into fat to decrease pain, and after liposuction, we sometimes transplant the fat back into breasts and buttocks. This may have raised her levels and caused her death, but there was no way to be sure.
To occupy my mind, I started reading medicine twenty to thirty hours a week. My original training was as a generalist, but for decades I had studied only cosmetic surgery.
I began with the Prozac-class antidepressants, which I had prescribed since their invention. It stunned me to learn that they hardly worked and were often damaging. I read further and found that other psychiatric medications produce irreversible brain and health problems. Doctors have been trained to pass them out like jelly beans.
I learned that many drugs are given for wholly theoretical, even speculative benefits. Many are damaging. I consulted people for cosmetic surgery who were taking ten (10) of these at once. I began to see how medical corporations had done this to us.
I read about back pain. Most of it goes away on its own, but doctors had been thoughtlessly prescribing opioid painkillers and turning many patients into struggling addicts. Back surgeries are the most expensive and some of the least effective procedures in all medical care, bar none. No one admits this even to themselves--not the surgeons, the hospital administrators, nor the surgical centers owners. The enormous profits short-circuit everybody's judgment.
I also realized that over the past three decades, younger and younger people had been getting heart disease, obesity, and diabetes. I wondered if healthcare, particularly medication use, might be the cause. I thought about Peter Van Etten's line, "In this insanity of healthcare, the patient always loses." I saw that we were breaking them on a medical torture-wheel.
The amount of wealth thrown into American healthcare is astounding. Since the corporations took over, hospitals, drug companies, and senior doctors on their payola are scrapping for it like giant carp eating bread. We pay them handsomely for anything they can slap a billing code on, and they dictate every move according to profitability. Patient wellbeing is now secondary. Healthcare quality--and our general health--has deteriorated.
I have affluent peers, and some are not shy about it. A gastroenterologist boasted in the doctors' lunchroom that he puts diamonds on the fingers of his infant daughters. In 2004, a cardiologist wearing a $3000 suit told me he "couldn't pay his personal expenses" if he made less than $600,000 a year. Nouveau riche posturing like this is usually accompanied by stories about expensive, supposedly lifesaving treatments. I always vaguely smelled a rat, but I was busy and never gave it much thought.
As I continued to study, I realized that newer science proved that many of the therapies these people were selling were worthless. I wondered what profit their fancy cars or high incomes could be for them if they did not put patients first.
After a great deal of personal and professional reflection, I decided to write about the whole medical-industrial calamity. I understand I am a whistleblower, what it means, and what I face. One of my source authors warned me I would lose my medical license. In late 2019, I quit practicing and left the melee. I can now say what I need to from outside the tent and without conflicts of interest.
My story is not the narrative of Wikipedia, WebMD, or other online sources. These are constantly being rewritten by marketers. Wiki is the most reliable, but like the others, it is under guerrilla attack by corporate ghostwriters. Most physicians disagree with me as well. When I shared my conclusions with them, most became resentful, cited their training, and told me I was dead wrong. The few who know the story are afraid to speak up.
Industry shills and people born yesterday say my tale is dated and claim everything has changed. They are right--it is not a new story. Since information remains concealed until drugs are off-patent, some of my references are ten to twenty years old. But they are only half-right: they are wrong about the change--the situation has become progressively worse.
Even though this history has been an open secret for decades, only an elite few understand the whole dysfunctional puzzle. You have the chance to join them, but the more you learn, the more it will break your heart.
For physicians, to practice effectively and ethically, they must understand what they face. Familiarity with these controversies is indispensable, even if you reject some conclusions. Your work will improve after you realize that doing less may produce better results.
Likewise, patients must learn about these issues to have the best chance of benefiting from healthcare. I share practical, little-known ways to deal with doctors and hospitals. You will also learn about health, sickness, and the limits of medicine. The more you know, the more confident you will be accepting--or in some cases, refusing care.
Despite my best efforts, I may be partly wrong. For example, statisticians are more optimistic than I am about the trifling improvements shown in large studies. You may also think you "know" about an area where I am mistaken, and that this destroys my credibility. For some cautious readers, what follows may even sound like a hostile, one-sided polemic.
So proceed with caution. If some disagreement kidnaps you and you quit reading, you will lose your chance to understand the ecosystem. Before feuding with me about a tree in this forest, scan at least the first dozen anecdotes. Money has poisoned our well, and this pattern establishes legitimacy even before you look at references. You need not swallow everything I serve up to believe that we are managing patients poorly.
The first step to deal with the situation, either as a doctor or a patient, is to learn the truth. This is also necessary for reform. By the end, you will understand the mess that has developed after we permitted industrialized medicine to snowball for thirty years.
Robert Yoho, MD, May 2020
From the Inside Flap
--Jeff Segal, MD, JD
A powerful attack on the status quo. You didn't pull any punches. I think the drug companies might put out a hit on you. The anecdotes and references provide an extra layering of depth to the conclusions. America's health care system does three things very well: make money, make money, and make money. And if along the way some patients get better....well bravo!
--Mike Steele, RN, retired from a Veterans Administration hospital
Fascinating... I read your book in a few days. It is lucid and readable. You share some of the same concerns I have had during my medical career. I think the system is so badly corrupted it is going to need to be demolished and replaced de novo. It is founded on the greedy self-interests of numerous competing groups... Unbridled capitalism has no place in healthcare.
--Neal Handel, MD, West Hollywood, CA
The most important message in this book is that much of medicine is questionable theory presented as indisputable fact.
--Mira de Vries, metzelf.nl, Association for Medical and Therapeutic Self-Determination
At first blush this book could be called a piece of investigative scientific journalism, but that would presuppose that the information is difficult to find. Rather, this information is open for all to see, yet we ignore it for political or personal reasons. Dr. Yoho's book is a well written, all-encompassing wake-up call for our dysfunctional and corrupt healthcare system. I hope it will also motivate individuals to take more responsibility for their own health.
--Paul Johnson, D.O.
- File Size : 2070 KB
- Print Length : 334 pages
- Publisher : Robert Yoho (August 12, 2020)
- Language: : English
- ASIN : B08FVMK5GY
- Publication Date : August 12, 2020
- Word Wise : Not Enabled
- X-Ray : Not Enabled
- Text-to-Speech : Enabled
- Enhanced Typesetting : Enabled
- Simultaneous Device Usage : Unlimited
- Lending : Enabled
- Best Sellers Rank: #132,663 in Kindle Store (See Top 100 in Kindle Store)
- Customer Reviews:
Top reviews from the United States
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As Warren Buffet said that US healthcare costs are “the tapeworm of the US economy”. Indeed, more is spent on healthcare than is paid in total federal taxes, being the one sector that represents 20% of the US economy.
Much of the treatments and medications used look for “surrogate endpoint” – often looking for a lab test number, weight loss or gain number while ignoring “hard endpoints” – those which are hard to miss, such as death.
Even our own physicians are often receiving payments or other benefits for using or prescribing certain products. Institutions such as hospitals – including non-profit or community hospitals, have financial incentives to use or prescribe certain products. This results in disease-mongering which is not good for our health. It subjects us to medications, procedures, and exposure to various chemicals and radiation which does nothing to improve our health, but exposes only to side-effects and other risks. Why would someone give their informed consent to that?
We expect a certain amount of hucksterism in the marketplace – whether we are buying clothes, vacations, electronics, or cars. As a society we have been taught to trust our healthcare experts – but over the past generation or two, they have changed to becomes salesmen rather than expert professionals.
The healthcare system is not failing. It is working well for the purpose it was designed. It makes a lot of money. Legislation is unlikely to significantly fix or change anything – there is too much money, and too many lobbyists, and too many people and trade organizations that rely on the status quo for their livelihood. Possibly, tolerating tiny changes, such as the ACA which subsidized insurance – but this only gives the insurance companies a larger pool of customers.
This book sharpened my understanding of practices familiar to me, e.g., the relationship of physicians to pharmaceutical companies, and open my eyes to problems I never realized existed, e.g., the dependency of the FDA on money from the pharmaceutical industry. For anyone burdened by complacency with our health care system, this book will be a terrific antidote.