Book Review: Overdiagnosed — Making People Sick In The Pursuit Of Health

Basil & Spice Blog

Conventional wisdom is that more diagnosis, especially early diagnosis, means better medical care. Reality, says Dr. Gilbert Welch – author of “Overdiagnosed,” is that more diagnosis leads to excessive treatment that can harm patients, make healthy  people feel less so and even cause depression, and add to escalating health care costs. In fact, physician Welch believes overdiagnosis is the biggest problem for modern medicine, and relevant to almost all medical conditions. Welch devotes most of his book to documenting his concerns via examples of early diagnosis efforts for hypertension, prostate cancer, breast cancer, etc. that caused patient problems.

Welch provides readers with four important and generalizable points. The first is that, while target guidelines are set by panels of experts, those experts bring with them biases and sometimes even monetary incentives from drug-makers, etc. Over the past decades many target levels have been changed (eg. blood pressure, cholesterol levels, PSA levels), dramatically increasing the number classified as having a particular condition. (Welch adds that prostate cancer can be found at any PSA level – about 8% for those with a PSA level of 1 or less, over 30% for those with a level exceeding 4; most are benign.)…

Full review here
See also Psychiatric Drugging of Infants and Toddlers in the US – Part I

…and New psychiatric disorders flag normal human behaviors as “diseases”

…and Fish oil supplements prevent mental illness; safe and effective alternative to antipsychotic drugs

…and A nutritional approach to psychiatry has been marginalized

…and more


Well, “Health Care” in this country is now a fully-corporatized industry, after all. Sometimes the agents get a little overly enthusiastic. Gotta keep sales up and the profits rolling in! And our Modern Way of Life will ensure a long line of customers.

When I got my degree the MD stood for Medical Doctor, now it stands for Marketing Deputy.