Hope or Hype: The Obsession with Medical Advances and the High Cost of False Promises

Hope or Hype: The Obsession with Medical Advances and the High Cost of False Promises

by Richard A. Deyo, Donald L. Patrick
     
 

ISBN-10: 0814408451

ISBN-13: 9780814408452

Pub. Date: 12/22/2004

Publisher: AMACOM Books

"Medical science has always promised — and often delivered — a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?

Hope or Hype is a taboo-shattering look at what drives the American obsession with medical

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Overview

"Medical science has always promised — and often delivered — a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?

Hope or Hype is a taboo-shattering look at what drives the American obsession with medical "miracles," exposing the equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery; the politicians; the press; and our own "technoconsumption" mindset. The authors spread blame for the parade of so-called miracle cures that too often are marginally effective at best — and sometimes downright dangerous. They examine consumers’ eager embrace of medical advances, and present riveting stories of the conscientious doctors and researchers who blew the whistle on ineffective treatments. Finally, they provide sane, practical recommendations for the adoption of new developments.

The consequences of questionable practices include costly recalls, billions in wasted money, and the pain and suffering of innumerable patients and their families. In short, they must stop."

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Product Details

ISBN-13:
9780814408452
Publisher:
AMACOM Books
Publication date:
12/22/2004
Pages:
335
Product dimensions:
6.30(w) x 9.30(h) x 1.28(d)
Age Range:
17 Years

Table of Contents

"Part I: Can There Be Too Much of a Good Thing? The Hazards of Uncritically Embracing New Medical Advances

1. Disillusioned Insiders: The Authors' Experiences

2. The Allure of the New: An American Love Affair

3. Red Herrings, Side Effects, and Superbugs: Why More Isn't Always Better

4. Social Hazards: Why Things Don't Always Work as Planned

Part II: How Things Work: Opinion Makers and Regulators

5. What Will You Swallow? How Drug Companies Get You to Buy Expensive Drugs ofDubious Value

6. Making Friends, Playing Monopoly, and Dirty Tricks: Other Drug Company

Strategies

7. Stacking the Deck: How Industry Gets the "Right" Answer in Clinical Research

8. Hype and Horror: The Media's Role in Disseminating New Treatments

9. Doctors and the Health Care Industry: "More Is Always Better"

10. Politicians and Judges: Practicing Medicine Without a License?

11. Advocacy Groups: Mother Theresa's Waiting Room

12. Holes in the Safety Net: the FDA and the FTC

Part III: Useless, Harmful, or Marginal: Popular Treatments That Caused Unnecessary Disability, Dollars, or Death

13. Ineffective or Inferior New Drugs

14. Medical Devices of Uncertain Value

15. Unnecessary or Excessive Surgery

16. Diet and Weight Loss Aids/ "Lifestyle" Treatments

Part IV: Crossing the Threshold: Improving the Transition from "Experimental" to "Standard Care"

17. Evidence-based Medicine: A Surprisingly New Idea

18. Pay Now or Pay Later: Closer Collaboration Between Researchers and Payers

19. Getting Value for Money: An Issue We Can't Ignore

20. Reducing Snake Oil Sales: National Centers to Assess Efficacy, Safety, and CostEffectivess of New Treatments

21. Shared Decision Making: Empowering Patients and the Public"

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