Worried Sick: A Prescription for Health in an Overtreated America

Worried Sick: A Prescription for Health in an Overtreated America book cover

Worried Sick: A Prescription for Health in an Overtreated America

Author(s): Nortin M. Hadler M.D. (Author)

  • Publisher: The University of North Carolina Press
  • Publication Date: June 2, 2008
  • Edition: 1st
  • Language: English
  • Print length: 392 pages
  • ISBN-10: 9780807831878
  • ISBN-13: 9780807831878

Book 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.

Each chapter of Worried Sick 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.

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.

Editorial Reviews

Review

“[Dr. Hadler] is a longtime debunker of much that the establishment holds dear. . . . Reviewing the data behind many of the widely endorsed medical truths of our day, he concludes that most come up too short on benefit and too high on risk to justify widespread credence. . . . Raise[s] serious questions.” — The New York Times

“Challenging conventional medical wisdom, [Hadler] advises a healthy skepticism about the benefits of drugs, routine tests, and many common medical procedures. . . . Educate[s] [readers] on being far better health-care consumers. . . . [A] provocative look at the U.S. medical system.” — Library Journal

“To change unrealistic expectations about longevity or lives without pain or illness bucks vested interests, but that is what Hadler does. . . . He knows that the changes he proposes are a long shot, but when people demand that medicine stop doing unnecessary things well, reform becomes possible. Recommended.” — CHOICE

“This book challenges readers to alter their notions about health maintenance, discarding beliefs about the efficacy of certain medications, screening tests, and procedures. . . . This thoughtful message from an experienced medical practitioner has merit and may convince the general public to advocate more forcefully for change.” — ForeWord Magazine

“Having guidelines for reimbursement that went through a Hadlerian analysis is not a bad place to start reducing medical care costs without reducing the quality of patient outcomes. A much more politically attractive, and potentially quite effective, reform would make it routine for patients to be exposed to Hadler’s kind of analyses whenever they are asked to consider any significant medical intervention.” — Journal of the American Medical Association

“A withering critique. . . . [Hadler has] the knowledge, power, and moral obligation to reject the false coin of commerce and technological hype and to reassert the primacy of the patient.” — New England Journal of Medicine

“An important book. . . . The reader will understand symptoms and their causation and will be richer for it — intellectually and in pocket.” — Journal of Rheumatology

“This is recommended reading even if you are determined in advance to despise it. You will be better off having wrestled with his arguments and . . . probably will not find them easy to refute.” — Journal of American Physicians and Surgeons

“[Hadler’s] self-confessed ‘diatribe against medicalisation’ is an engaging read.” — Medical Journal of Australia

“[Hadler’s] arguments are logical and make one think about the status quo.” — Milwaukee Academy of Medicine

Review

If, by some wild stretch of the imagination, the U.S. Congress convened and empowered a national convention to transform the American health-care system (i.e. industry), Nortin Hadler’s Worried Sick would have to serve as the template and the moral bible. His subtitle says it all, ‘A Prescription for Health in an Overtreated America.’
Case by case, drug by drug, test by test, and procedure by procedure, Hadler exposes the excesses, the unjustified costliness, and the ineffectiveness of the present medical scene. With an encyclopedic review of the published medical literature, Hadler shows us that the public is medicalized to an extreme and to no gain in the overall health of the nation.
Hadler presents a proposal for a health-care insurance system that will increase the health of the nation, provide only effective care, and reduce costs. All self-funded employers must read, absorb, and install Hadler’s well-founded ideas. As Hadler points out, it is probably too late for any federal plan to do anything but further increase costs and extend ineffectiveness.–Clifton K. Meador, M.D., author of
A Little Book of Doctors’ Rules, Med School, and Symptoms of Unknown Origin

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