Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening.
Drawing on 25 years of medical practice and research, Dr. H. Gilbert Welch and his colleagues, Dr. Lisa M. Schwartz and Dr. Steven Woloshin, have studied the effects of screenings and presumed preventative measures for disease and pre-disease. Examining the social, medical, and economic ramifications of a health care system that unnecessarily diagnoses and treats patients, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, debilitating anxiety, and exorbitant costs.
"This accessible and important book will help the reader understand the limitations of modern medicine and the perils inherent in an overzealous pursuit of a disease-free existence at any cost. It is also especially timely in raising one of the many issues surrounding the health-care debate." (Dennis Rosen, The Boston Globe)
"One of the big strengths of this relatively small book is that if you are inclined to ponder medicine's larger questions, you get to tour them all. What is health, really? In the finite endeavor that is life, when is it permissible to stop preventing things? And if the big questions just make you itchy, you can concentrate on the numbers instead: The authors explain most of the important statistical concepts behind evidence-based medicine in about as friendly a way as you are likely to find. (Abigail Zuger, M.D., The New York Times)
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A Must Read for All!
This book is one of the best nonfiction titles ever from Audible. It answers many questions I've had about why so many people seem to be sick, why health care costs have escalated beyond belief, and why so many people are frightened by their own bodies and subjected to endless psychological and physical invasions by the medical establishment..
So many memorable moments and the feeling of enlightenment was so strong I listened to the book twice, and have recommended it to everyone I know. I feel we all owe it to ourselves, friends, and family to incorporate this information into our knowledge base to better deal with our world today.
Couldn't possibly listen to it in one sitting, but it merits going back to again and again.
- J. D. Portnoy
Excellent book, revealing, unconventional approach
I would strongly reccommend it. This book presents an interesting view that is seemingly against "common wisdom" that early diagnosis and screening are always good.
I liked the author of the book and the way he presented his views
Very clear, not too fast which makes easier to grasp the facts. Overall one of best narrators so far
Life examples of individuals turned into patients and asymptomatic people harmed by tests
I liked this book very much because it was one of those few books that were able to change my thinking about the world.
- Slawomir Chlabicz