Overdiagnosis and Overtreatment

I’ve never been more concerned about the harms of healthcare. Any exposure to the health care system can get you in trouble. It’s especially scary when healthy people enter the system–often in the name of prevention. Remember that the most likely outcome of a medical intervention in a person without complaints is harm. How can… Continue reading Overdiagnosis and Overtreatment

Right Care Action Week — Change what we fear

Last night I talked with one of my partners about a few terrible cases of medical harm from unnecessary procedures. He said, “John, people get this stuff done to them because they fear not being healthy. People are scared.” My answer was that people should fear healthcare more than they do disease. That sounds like… Continue reading Right Care Action Week — Change what we fear

Right Care Action Week — Let’s make the invisible visible

Seven out of eight patients in his clinic one afternoon had unnecessary care. This from Dr. Atul Gawande, who may be the most respected physician in the world. And he works at Harvard. Overuse wastes resources. Overuse causes harm. Overuse fosters underuse. We must make it visible. The public needs to know. Here you go:… Continue reading Right Care Action Week — Let’s make the invisible visible

Right Care Action Week — Be skeptical

Right Care seeks to be smart care. In the first part of my career, I rarely looked critically at the evidence. I was too busy; and I was more trusting of the vertical hierarchy of medicine. Eminence-based medicine seemed normal. Listen to the experts, for they are experts, went my mindset. Then something happened. When… Continue reading Right Care Action Week — Be skeptical

Right Care Action Week – Un-informed Consent

The current state of informed consent in the US is best described as un-informed consent. A study this May reported that only 3% of patients with coronary artery disease received full informed consent before having an invasive procedure. Findings like these, and there are many other similar studies, reflect the ill-health of the medical decision… Continue reading Right Care Action Week – Un-informed Consent

RightCare Action Week — a broken healthcare system

I am proud to be part of the Lown Institute. Founded by Bernard Lown, a cardiologist, mentor, activist, and winner of the Nobel Peace Prize, the Lown Institute is an organization committed to making things right in the US healthcare system. In case you wondered, yes, there is right and wrong in healthcare. At this… Continue reading RightCare Action Week — a broken healthcare system

Writing update: Lown Institute Conference and ACC2015

Hi all, I have been busy in the last few weeks. Here is an update of my happenings and posts. From March 8-11, I attended and presented at the third annual Lown Institute Conference in San Diego. I have never felt more at home in a conference than I did at the Lown conference. Take… Continue reading Writing update: Lown Institute Conference and ACC2015