Less Medicine, More Health
7 Assumptions That Drive Too Much Medical Care
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Narrated by:
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L. J. Ganser
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By:
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H. Gilbert Welch
About this listen
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
Dr. H. Gilbert Welch is worried about too much medical care. It's not to deny that some people get too little medical care, rather that the conventional concern about "too little" needs to be balanced with a concern about "too much": too many people being made to worry about diseases they don't have - and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don't need - or can't benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. So more medicine does not equal more health; in reality the opposite may be true. The general public harbors assumptions about medical care that encourage overuse, assumptions like it's always better to fix the problem, sooner (or newer) is always better, or it never hurts to get more information. Less Medicine, More Health pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his 25 years of medical practice and research, Dr. Welch notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments - a number of which are just plain wrong. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.
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- Length: 7 hrs and 10 mins
- Unabridged
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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The Secret History of the War on Cancer
- By: Devra Davis Ph.D.
- Narrated by: Pam Ward
- Length: 19 hrs and 11 mins
- Unabridged
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The War on Cancer was run by leaders of industries that made cancer-causing products and sometimes also profited from drugs and technologies for finding and treating the disease. Filled with compelling personalities and never-before-revealed information, The Secret History of the War on Cancer shows how we began fighting the wrong war, with the wrong weapons, against the wrong enemies, a legacy that persists to this day.
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Silly Book
- By Adam Smith on 12-24-14
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The HPV Vaccine on Trial
- Seeking Justice for a Generation Betrayed
- By: Mary Holland, Kim Mack Rosenberg, Eileen Iorio
- Narrated by: Caroline Slaughter
- Length: 13 hrs and 41 mins
- Unabridged
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Cancer strikes fear in people’s hearts around globe. So the appearance of a vaccine to prevent cancer - as we are assured the human papillomavirus (HPV) vaccine will - seemed like a game-changer. Since 2006, over 80 countries have approved the vaccine, with glowing endorsements from the world’s foremost medical authorities. Bringing in over $2.5 billion in annual sales, the HPV vaccine is a pharmaceutical juggernaut. Yet scandal now engulfs it worldwide. The HPV Vaccine on Trial is a shocking tale, chronicling the global efforts to sell and compel this alleged miracle.
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Outstanding Investigative Book!
- By Barbara Loeppke on 10-02-19
By: Mary Holland, and others
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Trick or Treatment
- The Undeniable Facts about Alternative Medicine
- By: Edzard Ernst, Simon Singh
- Narrated by: Dennis Kleinman
- Length: 12 hrs and 33 mins
- Unabridged
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Whether you are an ardent believer in alternative medicine, a skeptic, or are simply baffled by the range of services and opinions, this guide lays to rest doubts and contradictions with authority, integrity, and clarity. In this groundbreaking analysis, over 30 of the most popular treatments - acupuncture, homeopathy, aromatherapy, reflexology, chiropractic, and herbal medicines - are examined for their benefits and potential dangers. Questions answered include: What works and what doesn't? What are the secrets, and what are the lies?
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Well researched
- By Erik J. Rasmussen on 09-09-20
By: Edzard Ernst, and others
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How Healing Works
- Get Well and Stay Well Using Your Hidden Power to Heal
- By: Wayne Jonas MD
- Narrated by: Ray Porter
- Length: 11 hrs and 28 mins
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Drawing on 40 years of research and patient care, Dr. Wayne Jonas explains how 80 percent of healing occurs organically and how to activate the healing process. In How Healing Works, Dr. Wayne Jonas lays out a revolutionary new way to approach injury, illness, and wellness. Dr. Jonas explains the biology of healing and the science behind the discovery that 80 percent of healing can be attributed to the mind-body connection and other naturally occurring processes. Jonas details how the healing process works and what we can do to facilitate our own innate ability to heal.
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AWESOME !
- By Paula on 08-06-18
By: Wayne Jonas MD
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- By: Marty Makary
- Narrated by: Robertson Dean
- Length: 7 hrs and 16 mins
- Unabridged
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Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
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The Heart Healers
- The Misfits, Mavericks, and Rebels Who Created the Greatest Medical Breakthrough of Our Lives
- By: James Forrester MD
- Narrated by: Jonathan Yen
- Length: 15 hrs and 45 mins
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At one time heart disease was a death sentence. By the middle of the 20th century, it was killing millions, and, as with the Black Death centuries before, physicians stood helpless. Visionaries, though, had begun to make strides earlier. On September 7, 1895, Ludwig Rehn successfully sutured the heart of a living man with a knife wound to the chest for the first time.
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Great review of the landmark achievements in Cardiology.
- By Trauma NP on 12-14-15
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One Doctor
- Close Calls, Cold Cases, and the Mysteries of Medicine
- By: Brendan Reilly
- Narrated by: Rob Shapiro
- Length: 15 hrs and 7 mins
- Unabridged
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An epic story told by a unique voice in American medicine, One Doctor describes life-changing experiences in the career of a distinguished physician. In riveting first-person prose, Dr. Brendan Reilly takes us to the front lines of medicine today.
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Simply Brilliant
- By Jan on 06-20-14
By: Brendan Reilly
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- By: Jason Karlawish
- Narrated by: Jason Karlawish, Jonathan Todd Ross
- Length: 13 hrs and 41 mins
- Unabridged
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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Influenza
- The Hundred-Year Hunt to Cure the 1918 Spanish Flu Pandemic
- By: Dr. Jeremy Brown
- Narrated by: Holter Graham
- Length: 6 hrs and 28 mins
- Unabridged
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On the 100th anniversary of the devastating pandemic of 1918, Jeremy Brown, a veteran ER doctor, explores the troubling, terrifying, and complex history of the flu virus, from the origins of the Great Flu that killed millions, to vexing questions such as: are we prepared for the next epidemic, should you get a flu shot, and how close are we to finding a cure?
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Important read
- By Kathryn C. on 12-21-18
By: Dr. Jeremy Brown
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The Undead
- Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
- By: Dick Teresi
- Narrated by: David Marantz
- Length: 9 hrs and 58 mins
- Unabridged
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Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear - and how this problem has been further complicated by the business of organ harvesting.
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Eye opening
- By Amy Giglio on 07-01-18
By: Dick Teresi
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What listeners say about Less Medicine, More Health
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Benjamin
- 11-15-23
A side of medicine we don’t talk about enough
Essential reading for practitioners and patients alike. We have become too focused on technology and what we can do, and not focused enough on what we actually should do.
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- Leila M
- 09-13-24
Informative, Interesting
Dr. Welch is witty, funny, and explains the important concept that Americans suffer too much health care. We all know of these victims, at which the medical business has caused harm, and at a great cost. For yourself, reconsider screening, invasive procedures, and treatments for "diseases" of which we have no symptoms. Highly recommend.
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- Eran Gal
- 09-28-16
Great book.
It's good to see the other side of the coin. Straightforward and helpful. The more people exposed to this book and question their doctors the better it is for us all.
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- Matt
- 02-24-23
Brilliant book, a must-listen
Have given several copies of this book to friends and family since reading it myself. It's so important for people to understand the conflictions in their medical care and put their own hands on the wheel of their health. That way, they can get all all the benefits of modern medical care without getting stung by its weaknesses
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- Teresa Bigelow
- 01-08-18
Erudite and Witty
This is a must read for anyone who ever accesses or thinks about accessing the health care system, i.e, everyone. This book is packed with informative, fascinating and thought-provoking information and insights. Over the years, it will be a useful guide for considering and understanding the options we have when faced with health care decisions.
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- Gloria Moreira
- 09-30-15
Sorely needed
A must read in order to awaken from the mass brain-washing of our society by these industries whose productivity is based on disease.
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- NASRULLA
- 09-11-15
Some further expansion on a previous discussion
Dr.Welch has further consolidated the earlier discussions in his previous two books: " over diagnosed" and "Should I Be Tested for Cancer?: Maybe Not and Here's Why". The ideas of overdiagnosing and overtreating were supported by some new examples as those related to angioplasty for the asymptomatic patient, prescribing antiarrhythmics for chronic AF, back surgery and dental interventions..etc and expanded to include the care of the near dying patients.. Support listening/reading the book especially for those adopting (? may be breaching) the principle of trying to do less for getting more of health..
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3 people found this helpful
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- JB Reads A Lot
- 10-13-23
Big picture of health end medicine
Excellent resource to have a more balanced view of the risk and harms of medical care.
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- Rene B Milner
- 04-01-16
The truth will set you free
As a physician it is refreshing to hear someone explain the science simply to help remove the fear mongering that recent medicine/health culture has developed in an effort to make money off of the unfortunate and totally unprepared patient. The question will be can the patient who is used to letting others think for them learn well enough to save themselves from the current proverbial snowball?
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4 people found this helpful
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- Jade Wang
- 02-23-19
Life changing and awesome book
What a wonderful book!
It completely changed how I view death—the ending part of the book where death and health is discussed. I would give the author a big hug if I had a chance to tell him thank you in person!
Very honest discussion.
Thank you so much! Highly recommend it for sure!
My father is also a primary care physician. He said to me who are generally very healthy and fit, you don’t have to do the mammogram so often if the procedure hurt you so much (the screening machine squeeze my otherwise healthy body so hard it is scary! to me!)
I also didn’t need the colonoscopy (did it but no need for it now I think about it)
Moderation of medical treatment works for me, not excessive obsessive worry. Go live a good life.
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