Welcome to American HealthScare

Thank you for your interest in making American healthcare more affordable

I look forward to your comments

Member Login
Lost your password?
Not a member yet? Sign Up!

Posts Tagged ‘ early detection ’

An Early Demented Example of Big-Data Silliness

0
August 21, 2015

According to an article in Health Data Management, the Center for Brain Health at NorthShore University Health System in the Chicago area will use the organization’s electronic health records (Epic) and “advanced analytics” to “get ahead” of the onset of Alzheimer’s Disease. Many of the typical health scare tactics are in play...
Read More »

More Exaggerations of the Benefits of Screening

0
February 18, 2015

Recent news stories touted a 22% drop in cancer death rates that has “spared the lives” of over 1.5 million people over the past two decades. The American Cancer Society (ACS) was attributed as explaining this drop as caused by U.S. smoking habits, extra attention to cancer prevention, improvements in various...
Read More »

The Harms of Overdiagnosis – Thyroid Cancer

0
November 16, 2014

The New York Times published a great story about the tremendous growth of thyroid cancer diagnoses in South Korea. It’s based on a study authored by H. Gilbert Welch, MD, a professor at Dartmouth Medical School, who has been a voice of restraint in the growth of aggressive American medicine for...
Read More »

CTs and Cancer

2
February 2, 2014

In a wonderfully strongly-worded piece in the New York Times, Drs. Rita Redberg and Rebecca Smith-Bindman talk about the future physical harms of excessive CT scans now. They state that 1 in 10 Americans undergo a CT scan each year. A study by the National Cancer Institute estimated that CT scans...
Read More »

New Cholesterol Guidelines — A Tale of Two Countries

2
November 18, 2013

The American Heart Association/American College of Cardiology just published new guidelines for screening and treating cholesterol. In some ways these guidelines are more like the British guidelines. Instead of setting up doctors and patients to fail by calling for certain cholesterol number targets as in the old U.S. guidelines (LDL level...
Read More »

The Cost-Effectiveness of Family Physicians – The Limits of Early Detection

0
July 21, 2013

Continuing my discussion of the findings in a recently published study on the ways family physicians deliver better care at a lower cost than a multi-ologist model, today I will talk about how family physicians often believe early detection of a disease does not improve the ultimate outcome. This statement will...
Read More »

More from Choosing Wisely and the AAFP

0
March 3, 2013

I must say, I’m very proud of the American Academy of Family Physicians for continuing to make statements about over-testing under the Choosing Wisely campaign umbrella. The Academy is more known for making wussy statements and taking wussy actions — the RUC wimp out being the prime example. So I salute...
Read More »

Screening for Diabetes is Essentially Worthless

7
November 29, 2012

A major study was just published in Lancet that addressed the issue of whether or not diabetes screening in primary care improves major health outcomes. This was a 10-year randomized controlled trial!! In other words, this study is the granddaddy of them all in terms of the rigor of its methods....
Read More »

The Brits are Also Having to Fight the Early Detection Fearmongers

1
November 4, 2012

Several physicians contribute regularly to BMJ. One of my favorites is a GP in Glasgow named Des Spence. Through their writings, I have gained a glimpse of the challenges faced by GPs in the UK, and the broader culture in which they work. In two of his columns this summer, he...
Read More »

The Essentially Useless Annual Checkup

1
October 21, 2012

We now have even more proof that the annual physical, health check, health maintenance visit, or whatever else you want to call it, is essentially useless. The Cochrane Collaboration recently published a review of the topic. They performed a meta-analysis of 14 randomized controlled trials of annual checkups of 180,000 adults...
Read More »

Important News!

American Health$care is HERE!!! Order today at amazon.com