Dear Julie,
Thank you for the rant! It reminds me, too, of the role advertising plays in all this. The consumer drive in medicine can largely be credited to the decision to let drug companies advertise their products on TV, radio, and through the printed media. With clever jingles, happy people, and very small fine print, consumers are being encouraged to press their doctors to prescribe medications for ailments they may or may not have, despite real side effects that may occur due to their physical make-up, medications they already take, age, etc. This is above and beyond the advertising seen in the physician's office and the drug companies perks pressed on physicians.
Thanks for sharing the article!
Cindy Garrison BS, IBCLC
> On 09/01/2020 12:00 AM LACTNET automatic digest system < [log in to unmask] mailto:[log in to unmask] > wrote:
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> Topics of the day:
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> 1. Science, medicine, and why it takes so long
> 2. I found that article
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> Date: Mon, 31 Aug 2020 10:53:20 -0700
> From: Julie Tardos < [log in to unmask] mailto:[log in to unmask] >
> Subject: Science, medicine, and why it takes so long
>
> This is a bit of a rant.
>
> Several weeks ago, I read an article (and I don't have a link, sorry) on
> how medicine is practiced in the US. It probably applies elsewhere.
> Anyway, the article was saying that medicine is often consumer-driven.
> Patients demand drugs or surgeries they have heard about, thinking that
> they will benefit them. The article was mostly talking about stents and
> antibiotics. But a study mentioned in the article said that of the 300
> most prescribed medications and surgeries, 40% do more harm than good.
> Medicine does not operate on scientific principles. And doctors are
> affected by culture as much as anyone else is. Pediatrics was founded on
> formula recipes and vaccination schedules. (That's from a different
> article.) It's not suprising, then, that there is so much distrust of
> vaccines among patients, and so much ignorance about breastfeeding among
> pediatricians.
>
> I may have saved this article. I'll check when I'm on my computer and not
> my phone.
>
> In short, culture change is a long game. You just have to keep plugging
> away. Small changes over time add up.
>
> Julie Tardos
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> ------------------------------
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> Date: Mon, 31 Aug 2020 15:18:11 -0700
> From: Julie Tardos < [log in to unmask] mailto:[log in to unmask] >
> Subject: I found that article
>
> From The Atlantic. Here is a link:
>
> https://getpocket.com/explore/item/when-evidence-says-no-but-doctors-say-yes?utm_source=pocket-newtab
>
> Accessed on 10/21/2019
>
> *When Evidence Says No, but Doctors Say Yes*
>
> *Long after research contradicts common medical practices, patients
> continue to demand them and physicians continue to deliver. The result is
> an epidemic of unnecessary and unhelpful treatments.*
>
> The Atlantic < http://theatlantic.com/?utm_source=pocket> David Epstein
>
>
> It's not about breastfeeding, but it does--in a roundabout way--explain the
> lack of interest in breastfeeding from a medical perspective.
>
>
> Julie Tardos
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