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

By Richard A. Deyo; Donald L. Patrick | Go to book overview

3

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

I remembered an Irish woman who once said to me, "you know, if only you doctors
could find a cure for these wretched antibiotics, you would be doing us all a good
turn." —John Lister1

There were other tests, some of which seemed to me to be more an assertion of the
clinical capability of the hospital than of concern for the well-being of the
patient. —Norman Cousins2

AS WITH buying a house or eating ice cream, it seems that getting more of a good thing is always better. Most of us assume that more medical care can only be a good thing. Americans are convinced that American medicine is the best because we get the most, and that the more we spend for medical care, the better it is.

For many basic medical services, this holds true. Childhood vaccinations, antibiotics for life-threatening infections, and surgery for appendicitis or heart disease can be lifesaving. At a population level, better access to basic services makes a big difference.

But as a nation, we may be at a point of diminishing returns. Increasing our expenditures on health care beyond a certain point may not improve the health of the nation one whit. There could even be a point where spending more for tests, drugs, and surgery will make things worse, leading to irrelevant findings, avoidable side effects, and unnecessary surgery.

Whether, as a society, we've reached that point is a matter of dispute. Everyone in the health-care industry—drug and device makers, hospitals,

-27-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this book

This book has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this book

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited page

Bookmark this page
Hope or Hype: The Obsession with Medical Advances and the High Cost of False Promises
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
/ 336

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.