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What’s Making Us Sick Is an Epidemic of Diagnoses
NY Times ^ | January 2, 2007 | H. GILBERT WELCH, LISA SCHWARTZ and STEVEN WOLOSHIN

Posted on 01/03/2007 12:14:13 PM PST by neverdem

For most Americans, the biggest health threat is not avian flu, West Nile or mad cow disease. It’s our health-care system.

You might think this is because doctors make mistakes (we do make mistakes). But you can’t be a victim of medical error if you are not in the system. The larger threat posed by American medicine is that more and more of us are being drawn into the system not because of an epidemic of disease, but because of an epidemic of diagnoses.

Americans live longer than ever, yet more of us are told we are sick.

How can this be? One reason is that we devote more resources to medical care than any other country. Some of this investment is productive, curing disease and alleviating suffering. But it also leads to more diagnoses, a trend that has become an epidemic.

This epidemic is a threat to your health. It has two distinct sources. One is the medicalization of everyday life. Most of us experience physical or emotional sensations we don’t like, and in the past, this was considered a part of life. Increasingly, however, such sensations are considered symptoms of disease. Everyday experiences like insomnia, sadness, twitchy legs and impaired sex drive now become diagnoses: sleep disorder, depression, restless leg syndrome and sexual dysfunction.

Perhaps most worrisome is the medicalization of childhood. If children cough after exercising, they have asthma; if they have trouble reading, they are dyslexic; if they are unhappy, they are depressed; and if they alternate between unhappiness and liveliness, they have bipolar disorder. While these diagnoses may benefit the few with severe symptoms, one has to wonder about the effect on the many whose symptoms are mild, intermittent or transient.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Editorial; News/Current Events
KEYWORDS: doctors; health; medicine
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Dr. Welch is the author of “Should I Be Tested for Cancer? Maybe Not and Here’s Why” (University of California Press). Dr. Schwartz and Dr. Woloshin are senior research associates at the VA Outcomes Group in White River Junction, Vt.
1 posted on 01/03/2007 12:14:17 PM PST by neverdem
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To: neverdem

This epidemic is a threat to your health. It has two distinct sources. One is the medicalization of everyday life. Most of us experience physical or emotional sensations we don’t like, and in the past, this was considered a part of life. Increasingly, however, such sensations are considered symptoms of disease. Everyday experiences like insomnia, sadness, twitchy legs and impaired sex drive now become diagnoses: sleep disorder, depression, restless leg syndrome and sexual dysfunction.

_________________________________________________________

BINGO we have a winner.....My Nana always said going to the Doctors makes one sick....she was so right. She lived to be 90. In good health until the final 4 months.


2 posted on 01/03/2007 12:19:47 PM PST by ThisLittleLightofMine
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To: neverdem
Perhaps most worrisome is the medicalization of childhood.

Good point. Overall this is a real interesting article -- thanks for the post.

3 posted on 01/03/2007 12:19:56 PM PST by 68skylark
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To: neverdem
Perhaps most worrisome is the medicalization of childhood.

Childhood? Heck, the medicalization of everything. Restless Leg Syndrome, Adult ADD, The Heartbreak of Psoriasis, Aggravated Bladder, Irritable Bowel Syndrome, Enlarged Prostate Condition... and on and on and on.

4 posted on 01/03/2007 12:23:54 PM PST by theDentist (Qwerty ergo typo : I type, therefore I misspelll.)
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To: neverdem

How sick you are depends on your health care coverage.


5 posted on 01/03/2007 12:25:57 PM PST by MikeHu
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To: neverdem

The sentence on asthma gave me pause. I do not believe just caughing after a soccer game gets a child diagnosed as asthma.


6 posted on 01/03/2007 12:26:21 PM PST by mbraynard
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To: 68skylark

Good article, I refuse to see a doctor unless absolutely necessary, same with pills. I'm almost 40 and the only prescription I've ever had was for penicillin. I plan on living to be 100 :)


7 posted on 01/03/2007 12:26:34 PM PST by mowowie
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To: 68skylark

"Perhaps most worrisome is the medicalization of childhood."

I want to take an informal poll here.

1. Does anyone have children in public school?
2. Do you remember that much crap on the walls when you went to school? Or do you remember a number line, the alphabet, a chalk board and a coat hook?
3. Do you think that might be a distraction for kids trying to learn?
4. Does your kid have A.D.D.?


8 posted on 01/03/2007 12:26:44 PM PST by EQAndyBuzz ("Give me four years to teach the children and the seed I have sown will never be uprooted." Lenin)
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To: neverdem

Medicare and most majors will not pay without a diagnosis.


9 posted on 01/03/2007 12:27:11 PM PST by Jim Noble (To secure the Blessings of Liberty to ourselves and our Posterity)
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To: neverdem
Excellent article and a shot across the bow of the Nanny State. Amazing it appeared in the Times.
10 posted on 01/03/2007 12:28:01 PM PST by JennysCool (Well done, President Ford.)
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To: neverdem

Wow, this article is so great in so many ways. I have several nieces and nephews who are walking pharmaceutical test labs. It drives me crazy.

For instance, I know someone who's kids have a genetic intolerance for sugar. It's rare and their kids are 3 of about 500 in the country.

Suddenly, two of my brother's kids are allergic to sugar. Guess what, when my kids eat too much sugar, they get the runs too. Solution, don't eat too much sugar.

My uncle (no blood relation) has Celiacs disease (intolerant to Gluten, the latest fad disease) Suddenly, a bunch of nieces have it too.

My kids, who share many genetic similarities have no health problems to speak of.


11 posted on 01/03/2007 12:28:02 PM PST by cyclotic (Support Cub Scouting-Raising boys to be men, and politically incorrect at the same time.)
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To: neverdem
But you can’t be a victim of medical error if you are not in the system

Hear, hear....this is why I stay out of Doctor's offices unless and until I need treatment. I haven't been serioulsy ill ever in my life and I'm 50.

12 posted on 01/03/2007 12:28:17 PM PST by colorcountry (Remember: Everyone seems normal until you get to know them.)
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To: neverdem

FANTASTIC article! I recently switched doctors because everytime I stopped in for one thing, I was given medication for some other condition. Enough already!


13 posted on 01/03/2007 12:29:26 PM PST by inkling (exurbanleague.com)
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To: EQAndyBuzz

We home school but our church meets in a public school. My wife and I have had conversations about the amount of distractions on the walls. It's ridiculous.

While we do not have desks and the kids work on the floor or table, I think in a class with 30 kids, you need to have the order that desks require.


14 posted on 01/03/2007 12:31:40 PM PST by cyclotic (Support Cub Scouting-Raising boys to be men, and politically incorrect at the same time.)
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To: neverdem

To add, I have and still experience many sympoms listed in the article, Sadness, anxiety, sleeplessness, my knee bounces sometimes, ect... That's life, these pills haven't been around for ever and the human race still survived. It's called life. Deal with it.


15 posted on 01/03/2007 12:32:53 PM PST by mowowie
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To: neverdem
I agree with the concern about over-diagnosis.

On a slightly different topic: Hospitals are full of germs. That's not surprising, really. But you can go to the hospital for one thing (and maybe it's a test you don't really need) and you can pick up something else. Also, a staggering amount of deaths in hospitals are caused by medical errors. Health care facilities can be dangerous places -- you may be better off avoiding them.

Now, there have been real advances in some medical areas. But the longer human lifespan is overwhelmingly due to a decrease in infant mortality. If you survive your first few years, and have access to antibiotics, you are likely to live to 70.

16 posted on 01/03/2007 12:33:23 PM PST by ClearCase_guy (Enoch Powell was right.)
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To: EQAndyBuzz

The whole ADD thing is a bit of a sore spot with me. From what I've read, it's disgnosed about 10 times more often than it needs to be -- maybe even more.


17 posted on 01/03/2007 12:34:18 PM PST by 68skylark
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To: inkling

When I went to the doc for a followup on glucose intolerance and left with two prescriptions for a colonoscopy and mamogram required by law I concluded that the radiologists had lobbied Congress. I threw them out, but most comply.


18 posted on 01/03/2007 12:35:41 PM PST by ClaireSolt (Have you have gotten mixed up in a mish-masher?)
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To: neverdem

A great deal of blame for this is TV drug ads. Old folks have nothing to do but sit in front of the TV where they are bombarded with every expensive prescription ad that promises it will make them feel like 25 again. This should have never been allowed. It runs up the price of drugs and the cost to the taxpayers through Medicare Part D, and it almost assures that seniors are taking combinations of prescriptions that will make them sick.


19 posted on 01/03/2007 12:35:51 PM PST by kittymyrib
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To: neverdem
I hate to say it, but for once I agree with a NY Times article.

Carolyn

20 posted on 01/03/2007 12:37:10 PM PST by CDHart ("It's too late to work within the system and too early to shoot the b@#$%^&s."--Claire Wolfe)
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