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Worried Sick: A Prescription for Health in an Overtreated America (H. Eugene and Lillian Youngs Lehman)

Worried Sick: A Prescription for Health in an Overtreated America (H. Eugene and Lillian Youngs Lehman)

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Author: Md, Nortin M. Hadler
Publisher: The University of North Carolina Press
Category: Book

List Price: $28.00
Buy New: $17.53
You Save: $10.47 (37%)



New (24) Used (7) from $17.53

Rating: 3.5 out of 5 stars 8 reviews
Sales Rank: 5754

Media: Hardcover
Pages: 392
Number Of Items: 1
Shipping Weight (lbs): 1.5
Dimensions (in): 9.4 x 6.1 x 1.3

ISBN: 0807831875
Dewey Decimal Number: 362.10973
EAN: 9780807831878
ASIN: 0807831875

Publication Date: June 2, 2008
Availability: Usually ships in 1-2 business days
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  • Kindle Edition - Worried Sick: A Prescription for Health in an Overtreated America
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  • Audio CD - Worried Sick: A Prescription for Health in an Overtreated America

Similar Items:

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Editorial Reviews:

Product Description
At a time when access to health care in the United States is being widely debated, Nortin Hadler argues that an even more important issue is being overlooked. Although necessary health care should be available to all who need it, he says, the current health-care debate assumes that everyone requires massive amounts of expensive care to stay healthy. Hadler urges that before we commit to paying for whatever pharmaceutical companies and the medical establishment tell us we need, American consumers need to adopt an attitude of skepticism and arm themselves with enough information to make some of their own decisions about what care is truly necessary. pEach chapter of iWorried Sick/i is an object lesson regarding the uses and abuses of a particular type of treatment, such as mammography, colorectal screening, statin drugs, or coronary stents. For consumers and medical professionals interested in understanding the scientific basis for Hadler's arguments, each topical chapter has an accompanying source chapter in which Hadler discusses the medical literature and studies that inform his critique.p According to Hadler, a major stumbling block to rational health-care policy in the United States is contention over the very concept of what constitutes good health. By learning to distinguish good medical advice from persuasive medical marketing, consumers can make better decisions about their personal health and use that wisdom to inform their perspectives on health-policy issues.


Customer Reviews:   Read 3 more reviews...

4 out of 5 stars Well worth reading ...   October 31, 2008
Curious Cat (Southern Oregon)
.. though not the classic his "The Last Well Person" is. This book restates and updates much of the information in "Last Well Person" as well as adding new information, but there is an undertone of frustration in it which I didn't find in the first one. I think banging his head against the brick wall of the American system of health care for the last 10-15 years has understandably caused Dr. Hadler some pain, and it sometimes shows. Also, the verbiage is occasionally unnecessarily dense, showing his years of arguing these points with health-care insiders rather than laymen. br / br /This is nonetheless a very interesting book with well-supported positions and a wealth of information on what you need to know in evaluating "recommendations" by health professionals. The last section is Dr. Hadler's proposal for creating a sustainable health care system on the bones of the old system, rather than starting from scratch, and I found that very intriguing. I wish it had been fleshed out more, but it certainly creates a very good starting point for discussions. br / br /In sum, I recommend this book for anyone interested in how we can make informed choices for our own health care and for the health care system in this country.


4 out of 5 stars Maybe this should be required reading for older people   October 17, 2008
Alison Ulrich (Southbury, Connecticut)
2 out of 2 found this review helpful

An eye-opener for so many caught on the treadmill of tests, diagnoses, questionable treatment. There's a lot of commonsense dispensed in this book that makes me realize anew how much more frightening is morbidity than mortality.


4 out of 5 stars Snake Oil and MD's   September 28, 2008
R. A. Petro
3 out of 3 found this review helpful

Dr.Hadler book makes an excellent case for re-vamping health care in America as it currently is administered. He first,chapter by chapter,de-bunks most of the health treatments recommended by America's medical fraternity. Using statistics(and an excellent bibliography of suggested follow-up reading),Dr.Hadler points out the fallacies of the most wide-spread medical procedures and their actual lack of significant,statistical results. He makes a compelling argument that the system of surgical procedures and tests support a multi-billion dollar industry that,perhaps,doesn't put patient welfare first and foremost. He applies the same logic and statistical analysis(what there is available) to the non-regulated potients and nostrums constantly being sold through television ads and magazines. His final chapter inludes an excellent plan for a reformed,efficient and patient oriented health care system for the American public. The book is a cogent and critical analysis of health care in this country.


4 out of 5 stars What's Up, Docs?   September 26, 2008
bronx book nerd (Bronx, NY USA)
6 out of 6 found this review helpful

In Worried Sick, Dr. Nortin Hadler contends that many procedures like bypass surgery, stents, angioplasty, colonoscopy, mammography, prostate cancer and cholesterol screening, among others, ultimately do very little for the patient and a lot for the medical and pharmaceutical industry. He claims that the biggest predictor of health is socioeconomic status (SES), and not necessarily any of the indicators flushed out by screenings and diagnosis. He proposes a health insurance scheme based on proven effectiveness of procedures and pharmaceuticals, with medical care incorporating SES questions into the history and diagnosis. His contention is that we have "medicalized" conditions that have always been the bumps and bruises of life, with this medicalization resulting eventually in health insurance coverage and expansion of definitions that captures more people in these conditions and thereby expands the pool of patients. br / br /Hadler has been making these points for some time in other works, and I think it's an important voice in the debate over health costs and medical insurance. Ultimately, Hadler claims that we should be debating not just about the efficiency of delivering health, for some the panacea for reducing its costs, but fundamentally the effectiveness of the care offered and provided. If, as Hadler claims, so many of the procedures, pharmaceuticals and gadgets foisted on the American public do little, nothing or may actually be harmful, why argue about how to better provide them, and instead, debate on whether they should be automatically included in the menu of options for which patients recruited and which insurance plans eventually pay. br / br /My criticism of the book is that it is somewhat densely written, although Hadller's wit, sometimes expressed in sarcasm, probably evolved over time from the frustration of being a lone voice in the wilderness, makes the book more readable. However, a toned-down version could make the arguments moe accesible to the general public and perhaps give the book and its message a greater impact. br /


1 out of 5 stars Unfair to patients and doctors   September 6, 2008
Commiepinko
2 out of 11 found this review helpful

Dr. Hadler's second book on the same subject is an expansion of his diatribe against doctors (including, by extension, himself?). As with the first, he selects data to make his arguments, and omits those which disagree with him. As a consequence, the poor patient is left knowing far less than before starting, despite Hadler's promises to educate everyone. This is not to say that there are no useful points in the book; it is simply that given the unbelievably pompous and arrogant style, it is virtually impossible for one without great medical sophistication to make hide nor hair of it. Finally, his solution to the health care dilemma, to tax everyone 12% and pay only when the treatment satisfies Hadler's criteria of excellence, is sophomoric and useless.

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