"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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"Don’t just stand there, do something!"
Our collective impulse, in the face of illness or injury, is to demand just that. But the idea that there is always "something" that can—and should—be done is born of our own blind trust in a medical establishment that preys on our deepest fears, all the while purporting to ride to our rescue with "miracle cures."
Certainly, few industries have enjoyed such monumental advances and explosive growth in recent decades as the medical, pharmaceutical, and health care industries. And thankfully, much bona fide progress is still being made in the treatment and prevention of once-fatal conditions. But the combination of industry greed, media hype, political expediency, and our own "technoconsumption" mindset is leading more and more often to a reliance on costly treatments that are marginally effective at best—and sometimes downright dangerous.
Hope or Hype is a taboo-shattering look at what drives the American obsession with medical miracles. Dr. Richard Deyo and Dr. Donald Patrick—both experts on the ethical and policy issues facing the medical community and its constituents—spread the blame for the parade of false promises and compromises, indicting in equal measure the pharmaceutical and equipment companies; the doctors and hospitals too quick to order unnecessary and costly surgeries and medications; the politicians and media all too eager for a signature issue or a good story; and our own relentless demand to be "made healthy."
Hope or Hype outlines the hazards—from unnecessary treatment to actual harm or even death—of embracing medical advances without serious consideration of efficacy, long-term benefit, side effects, cost, and other critical factors. The book also provides a frank and sometimes startling look at how companies get us to buy into the need for the most expensive treatments, and even manipulate clinical trials and data in order to present the "right" result.
The book’s final section presents a systematic and workable approach for crossing the threshold to better practices, with recommendations for doctors, researchers, insurers, regulators, and consumers. So although Hope or Hype exposes many shocking truths about the state of our health-care system, the book is far from a rant. It is rather a call for sense and vigilance on the part of the medical community, the consumer, and the major industrial players, all of whom stand to gain from a more reasoned and thorough approach to the application of new science and technology.
Richard Deyo, M.D., M.P.H., and Donald Patrick, Ph.D., M.S.P.H., are both professors at the University of Washington in Seattle. Dr. Deyo, co-recipient of the Nellie Westerman Prize for research in medical ethics, directs a fellowship program for policy-relevant research training, as well as the university’s Center for Cost and Outcomes Research. Dr. Patrick is noted for his work on the links between quality of life, cost-effectiveness, and health policy. He has participated in studies of drugs for a wide variety of illnesses, and is a member of the Institute of Medicine, the most prestigious organization of health experts in the U.S. "Deyo and Patrick have provided a thorough explication of the Greed is Good philosophy that permeates so much of modern American medicine. They have got it right, over and over and over." —George D. Lundberg, M.D., Editor in Chief, Medscape General Medicine; former Editor, Journal of the American Medical Association
"You'll find no hype here, only well-documented, clearly presented information that will shock and amaze you. Required reading for all who want to understand what makes our health system work...and not work." —Linda Rosenstock, M.D., M.P.H.; Dean, UCLA School of Public Health
"A superb guide to the powerful but often hidden influences that affect our health and health care. It is a vivid, engaging, and critically important resource. Jesse Gruman, Ph.D., President and Executive Director, Center for the Advancement of Health
"You would need to read a half dozen recent books to get as much useful, accessible information as Drs. Deyo and Patrick provide about the costs, risks, illusions, and shenanigans that plague our health-care system. Hope or Hype is courageous and outrageous—wide-ranging, thoroughly readable, informative, and helpful." —Floyd Skloot, winner of the 2004 PEN Center USA Literary Award for In the Shadow of Memory
"Drs. Deyo and Patrick have done an excellent job in probing the promise and problems of advancing medical technology in U.S. health care. This is an important book, presented in a reader-friendly style, that provides a balanced, objective view of what is useful and harmful within today’s enormous array of medical treatments." —Dr. John P. Geyman, Department of Family Medicine, University of Washington
"Hope or Hype takes the reader on a journey through the labyrinth of American health care, offering valuable insight into how medical advances are developed, tested, and marketed. In lucid terms, the authors dispel widely held myths, explore the scientific and ethical bases for improving health, and expose many questionable practices." —Alan B. Cohen, Executive Director, Boston University Health Policy Institute; coauthor, Technology in American Health Care
"An important book for doctors and their patients alike. A light read with a heavy message: We all need to develop some healthy skepticism about so-called medical advances." —H. Gilbert Welch M.D., M.P.H.; author, Should I Be Tested for Cancer?About the Author:
Dr. Richard Deyo and Dr. Richard Patrick (Seattle, WA) are both professors at the University of Washington. Deyo was co-recipient of the Nellie Westerman Prize for research in medical ethics. He directs a fellowship program for policy-relevant research training, as well as the university’s Center for Cost and Outcomes Research. Patrick is noted for his work on the links between quality of life, cost-effectiveness, and health policy. He has worked on drug studies for a wide variety of illnesses, and is a member of the Institute of Medicine, the most prestigious organization of health experts in the U.S.
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Book Description AMACOM. Hardcover. Book Condition: New. 0814408451. Bookseller Inventory # Z0814408451ZN
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