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----Is a CT scan always necessary after your child suffers a bump on the head? Should you think twice before undergoing surgery for lower back pain? Are your elderly parents going to be allowed to die at home, or will they spend their last few weeks in a hospital, hooked up to machines and tubes, subjected to painful, unnecessary procedures?
These are the kinds of questions you may find yourself asking once you’ve read Overtreated. Each year, our medical system delivers an enormous amount of care that does nothing to improve our health or lengthen our lives. Between 20 and 30 cents on every health care dollar we spend goes towards useless treatments and hospitalizations, towards CT scans we don’t need, towards ineffective surgeries—towards care that not only does nothing to improve our health, but that we wouldn’t want if we understood how dangerous it can be. This is the surprising and deeply counterintuitive message of Overtreated.
Of course, almost everything in our personal experience says just the opposite, that far from delivering too much care, our medical system isn’t giving us enough. Forty-seven million of us don’t have coverage, and even those of us who do have health insurance feel as if our insurers and doctors are continually trying to deny us treatments and tests and drugs that could help us.
Yet as award –winning journalist Shannon Brownlee shows in this remarkable book, much of what we think we know about health care is simply wrong. With probing insight and facinating examples, Brownlee unveils its topsy-turvy economics, where the supply of medical resources—beds, specialists, intensive care units—determines what care we receive, rather than how sick we are and what we actually need.
Overtreated offers a fresh way to think about health care reform. Americans worry about rationing—that any effort to rein in costs will lead to restrictions on treatments that could improve our health. But as Brownlee argues in this compassionate and compelling book, we can improve the quality of American medicine, control costs, and cover the uninsured—all without the limitations and expense that Americans fear. Her humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment in their own care, while simultaneously pointing the way to a better system.
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Shannon Brownlee is an essayist and writer whose work has appeared in The Atlantic Monthly, the New York Times, The New Republic, Slate, Time, Washington Monthly, the Washington Post, and the Los Angeles Times, among other publications. |
She is the winner of several prestigious journalism awards, including the 2004 Association of Health Care Journalists Award for Excellence in Health Care Journalism, the Victor Cohn Prize for Excellence in Medical Science Reporting, the National Association of Science Writers Science-in-Society Award, and the Sigma Delta Chi Award from the Society of Professional Journalists.
Ms. Brownlee is a Schwartz Senior Fellow at the New America Foundation, a non-partisan think tank in Washington, D.C. She lives on the Chesapeake Bay with her husband and son. Overtreated is her first book. |
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