Newly lost faith in health care

You have the players mixed up here a little.
The most coercive player is medicare through their payment system the goal of which is to pay as little as possible for as much as they can wring out of you as a provider.
Medicare establishes care guidelines and mandates compliance through their “Quality” system, if you dont do what they say you get docked. No appeal.
Those guidelines are developed by the bureaucrats with advice from advisory panels made up of experts in the field but the bureaucrats are not bound to follow the advice of the panel. There may be reps from pharma on the panel. Obviously pharma has avenues to influence those guidelines.
If you think that any lowly medical student or resident physician has any time to be indoctrinated by pharma you are sadly mistaken, they are just trying to survive working 80-100 hrs a week and avoid being in the line of fire by an attending on rounds. They are happy that a pharm rep may show up and buy lunch for a conference some noon but thats about the extent of pharmas influence on an in training physician.
Want to blame someone for most of the problems in health care today, look at the feds both the senators and reps as well as the bureaucrats at HHS.
I don’t have the time to go on a long winded diatribe. If you still have faith in your doctors that’s your prerogative…I’m not here to tell you what to believe to be true. I know full well how the medical establishment works. I know doctors are trained and taught by the Rockefeller medical text books that force medical students to study a curriculum that is not only flawed but criminal. If Covid, the fake pandemic…along with the fake poison shots haven’t woken people…I sure won’t. Have a good day.
 
The Rockerfeller reference is a fun throwback. While his influence on medicine is historically true it was 100 years ago. Im not saying it does not have lingering effects, virtually none of the content is still there.

Modern medicine has a spectrum. Surgery and trauma care is amazingly good, antibiotics changed humanity as much as any one invention, insulin was lifesaving for type 1 diabetics.

Tons of counter examples as well without even stretching to things like viox, SSRIs come to mind.

I keep hearing doctors dont know much about nutrition, truth is HUMANS dont know that much about nutrition, its a very hard thing to study due to very long timelines, confounding factors, and reliance on self reporting.

I am a bit suspicious of the demonization of cholesterol, though it would be silly to call it outright false though.
 

“In 2016, the British Medical Journal (BMJ) published an “analysis”by a research fellow, Michael Daniel, and a professor who had developed the operating room checklist, Martin A. Makary, both from the Department of Surgery at Johns Hopkins University. To call it a study would be inaccurate. It was a call for better reporting of medical errors, motivated by a lack of funding available to support quality and safety research and propped up by a back-of-the-envelope calculation. The authors looked at the few studies that had been published on the problem since the Institute of Medicine report. They took the mean death rate from medical error from those studies and extrapolated them to the total number of U.S. hospital admissions in 2013. After adding that this extrapolation was surely an underestimation of the actual problem, they concluded that this would mean medical error would rank third in the Centers for Disease Control’s list of causes of death in the U.S. This became the title of their published analysis, which has been cited in at least 1,265 papers according to Scopus, and this memorable idea spread to news articles, television shows, and alternative medicine circles.”


Take-home message:
-A popular claim that medical error is the third leading cause of death in the United States originated in a 2016 back-of-the-envelope analysis published in the British Medical Journal
-This ranking is an exaggeration that was arrived at by combining a small number of studies done in populations that were not meant to be representative of the entire U.S. population and that were not designed to prove a link between a medical error and death
-The claim is often used by proponents of alternative medicine to scare people away from medical care.



It’s a good read.




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A lot of skeptics become believers real quick when they have a kidney stone, a burst appendix or get rushed to the ER for triple by-pass surgery....etc.

Topics such as these appear frequently. The structure is far from perfect but it’s better than anywhere else.

Big Pharma is a popular target. We’re easy to blame. I did a poll on another site asking if you’d be dead without Big Pharma, most people said yes.




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I blame how the government has structured Medicaid/ Medicare. It basically robs Medicare, or Medicare participants to fund Medicaid IMO.
 
A lot of skeptics become believers real quick when they have a kidney stone, a burst appendix or get rushed to the ER for triple by-pass surgery....etc.

Its silly to say that all modern medicine is garbage, its also silly to say its all great or at the same level.

In general surgery and trauma care is amazing, antibiotics changed the world, insulin certainly changed the world for diabetics.

This system also brought us Viox, SSRIs, Covid jab for kids (I am very open to that it was great for some people), and eat cereal not eggs.

Wondering where on that spectrum statins fall in which I think was the original topic of this post seems legit. Cholesterol may be causal for hear disease but it seems even the most optimistic view of their effectiveness only adds days to lifespan. On the other hand those averages might have more to do with the fact that we recommend them to nearly all men over 50 than that they dont work where they are needed.
 
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