According to Dr. Welch, a complex web of factors has created the
phenomenon of overdiagnosis: the popular media promotes fear of
disease and perpetuates the myth that early, aggressive treatment is
always best; in an attempt to avoid lawsuits, doctors have begun to
leave no test undone, no abnormality-no matter how
incidental-overlooked; and, inevitably, profits are being made from
screenings, a wide array of medical procedures, and, of course,
pharmaceuticals. Examining the social, medical, and economic
ramifications of a health care system that unnecessarily diagnoses
and treats patients, Welch makes a reasoned call for change that
would save us from countless unneeded surgeries, debilitating
anxiety, and exorbitant costs.
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