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Gold, incentives and meh

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Headline

Vitamin D does not improve bone health or prevent fractures, finds study

Comment

Clearly , resources in any publicly funded health service in the world are limited by the reality of people living longer . The definition of diseases and purpose of treating them should be carefully scrutinised, especially on the matter of impacting qualities of life( which could mean differently to different cohorts). Overdoagnosis is a real issue and overlooked everyday, simply because we seem to have succumbed to our belief in the ‘power’ of 21st century science culture. This is further compounded by anticipated risks of medico-legal penalty for doing less instead of doing more, as well as the constant push of new products into the market by pharmaceutical companies. I recall the seven ‘drivers’ of overdiagnosis suggested the article in BMJ recently (18-25 August 2018): (1) Brodening disease definitions (2)Technology (3)Public health interventions (widespread screening) (4) Culture of medical care (5) Clinician cognitive errors (6) System factors (financial incentives) (7) Evidence limitations Truth is all , I mean all , regulatory bodies should look very carefully at the differentiation between treating medical needs and satisfying demands from over-medicalisation. I call the latter ‘medical populism’.

Posted date

07 Oct 2018

Posted time

9:40am

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