Comments on: Profiting from screening http://www.kevinmd.com/blog/2008/03/profiting-from-screening.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Diorahttp://www.kevinmd.com/blog/2008/03/profiting-from-screening.html#comment-84518 Diora Tue, 25 Mar 2008 22:25:00 +0000 http://clients.emmense.com/kevinmd/2008/03/profiting-from-screening.html#comment-84518 Out of curiosity I took one of the tests - I think AAA screening - and looked up what USPSTF has to say for screening general population (not sick people, not over-65 crowd, healthy people). They said that there was little evidence of benefit and good evidence of harm. <br/><br/>Yet Happy Hospitalist is saying that from his point of view these ads sent to general public are perfectly fine ethically as long as people are paying. Never mind the scare tactic and total absense of any mention of potential harm in the brochure.<br/><br/>This brings two questions to mind<br/>1. How is sending out advertising promoting tests that are more likely to harm someone than benefit him/her is ethically better than selling snake oil? Hint - snake oil can benefit some people too due to placebo effect, right? Consider also that the authors of the brochure are people with MD while snake oil salesmen usually aren't, and most of us are more likely to listen to a health advice from someone with an MD.<br/><br/>2. Whatever happen with "first do no harm"? Out of curiosity I took one of the tests – I think AAA screening – and looked up what USPSTF has to say for screening general population (not sick people, not over-65 crowd, healthy people). They said that there was little evidence of benefit and good evidence of harm.

Yet Happy Hospitalist is saying that from his point of view these ads sent to general public are perfectly fine ethically as long as people are paying. Never mind the scare tactic and total absense of any mention of potential harm in the brochure.

This brings two questions to mind
1. How is sending out advertising promoting tests that are more likely to harm someone than benefit him/her is ethically better than selling snake oil? Hint – snake oil can benefit some people too due to placebo effect, right? Consider also that the authors of the brochure are people with MD while snake oil salesmen usually aren’t, and most of us are more likely to listen to a health advice from someone with an MD.

2. Whatever happen with “first do no harm”?

]]> By: DDx:dxhttp://www.kevinmd.com/blog/2008/03/profiting-from-screening.html#comment-84511 DDx:dx Tue, 25 Mar 2008 19:00:00 +0000 http://clients.emmense.com/kevinmd/2008/03/profiting-from-screening.html#comment-84511 What???The above comment suggests we Holy Physicians might be motivated by something other than the pure desire to see our patients be well? That a physician, ordained in the power of the mystery of diagnosis might have a self interest? No! No! No!<br/><br/>I'm sure physicians are BETTER than that...<br/>Aren't we? Hey, where is everybody?<br/>Did I miss the Drug Rep? What???The above comment suggests we Holy Physicians might be motivated by something other than the pure desire to see our patients be well? That a physician, ordained in the power of the mystery of diagnosis might have a self interest? No! No! No!

I’m sure physicians are BETTER than that…
Aren’t we? Hey, where is everybody?
Did I miss the Drug Rep?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/03/profiting-from-screening.html#comment-84499 Anonymous Tue, 25 Mar 2008 15:06:00 +0000 http://clients.emmense.com/kevinmd/2008/03/profiting-from-screening.html#comment-84499 Why do so many physicians propagate that fallacy, then? And agree to be reimbursed based on procedures? Why do so many physicians propagate that fallacy, then? And agree to be reimbursed based on procedures?

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