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By: Paul Kelleher

I agree on the harmful cases, and probably also on most “medically unnecessary” cases. But if I’m reading you right (and I may not be), there is an unstated premise in your treatment of what you call...

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By: Austin Frakt

What’s too quick for a philosopher is often just right for a blog post by an economist. The conversation always needs to be taken to a deeper level. Sometimes that’s an excuse to not draw any lines. I...

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By: Shannon Brownlee

Kenny Lin is Kenny’s name, and I disagree with him on this one, despite having written an article in the NYTimes Magazine that strongly supported Kenny’s work at the US Preventive Services Task Force,...

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By: Austin Frakt

Excellent comment. Before I respond/ask questions, let me point out that the main purpose of my post wasn’t necessarily to come to any conclusion on the PSA (and you’ll notice I didn’t, despite what I...

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By: Shannon Brownlee

Great comment, and I’m glad you bring up the concept of supplier-induced demand. I too think it is a very real phenomenon in health care, and I agree a little pushback against low value treatments and...

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By: Austin Frakt

We’re clear, and in agreement, that there are three types of care: stuff that should not be done to anyone, stuff that should be done to everyone (with the appropriate condition, that is), and stuff in...

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By: steve

I can tell you what I see in practice. I am seeing more patients forego care that we think they really should have, like not treating their diabetes or hypertension. I see patients making these...

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By: Brad F

I would also add the functionally health illiterate, and the valid tools required to ascertain treatment wishes. If folks cant read a pill bottle or calculate odds, eg, 33% chance you will no longer...

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By: Kate Clay

Shannon: Sorry to come to this conversation so late. Thanks for saying what I would have said if you hadn’t. Shared decision making is one model of communication, does not apply in all cases, but...

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By: Paul Kelleher

I agree on the harmful cases, and probably also on most “medically unnecessary” cases. But if I’m reading you right (and I may not be), there is an unstated premise in your treatment of what you call...

View Article

By: Austin Frakt

What's too quick for a philosopher is often just right for a blog post by an economist. The conversation <em>always</em> needs to be taken to a deeper level. Sometimes that's an excuse to...

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By: Shannon Brownlee

Kenny Lin is Kenny’s name, and I disagree with him on this one, despite having written an article in the NYTimes Magazine that strongly supported Kenny’s work at the US Preventive Services Task Force,...

View Article

By: Austin Frakt

Excellent comment. Before I respond/ask questions, let me point out that the main purpose of my post wasn’t necessarily to come to any conclusion on the PSA (and you’ll notice I didn’t, despite what I...

View Article


By: Shannon Brownlee

Great comment, and I’m glad you bring up the concept of supplier-induced demand. I too think it is a very real phenomenon in health care, and I agree a little pushback against low value treatments and...

View Article

By: Austin Frakt

We’re clear, and in agreement, that there are three types of care: stuff that should not be done to anyone, stuff that should be done to everyone (with the appropriate condition, that is), and stuff in...

View Article


By: steve

I can tell you what I see in practice. I am seeing more patients forego care that we think they really should have, like not treating their diabetes or hypertension. I see patients making these...

View Article

By: Brad F

I would also add the functionally health illiterate, and the valid tools required to ascertain treatment wishes. If folks cant read a pill bottle or calculate odds, eg, 33% chance you will no longer...

View Article


By: Kate Clay

Shannon: Sorry to come to this conversation so late. Thanks for saying what I would have said if you hadn’t. Shared decision making is one model of communication, does not apply in all cases, but...

View Article
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