September 2008 Archives

The Chicago Tribune, in the middle of a good story with a catchy headline - "The United States of Anxiety: Worried Sick Over Our Health Care" - includes some vital messages:

"Polls show voters worry a lot about health care and how much they spend on it. Presidential candidates John McCain and Barack Obama have responded by peddling plans they claim will help more Americans attain and afford care.

But neither candidate has focused publicly on treating the real problem: why American medical care costs too much and isn't as good as it should be.

We waste money on tests and visits to specialists that don't make us better. We spend big to add a few weeks or months to the inevitable end of a dying patient's life. We use expensive technology at any cost, even when it exceeds our needs, and we fail to encourage simple, proactive steps that would keep us healthier and save us money. We often don't know which treatments work the best, so we err on the side of too much care, for too much cost, with sometimes damaging consequences.

As a result, Americans pay significantly more for medical care than anyone else in the industrialized world. Every year, we spend a bigger chunk of our family budget on doctor bills, hospital stays and prescription drugs. Yet we trail several other nations in health-care quality, access and efficiency.

Most Americans have long assumed that more is better when it comes to their health: more doctors, more tests, more hospital time. But a decade of comprehensive studies suggests that all those visits and tests and hospital stays are often a waste of money—and sometimes a drag on our well-being."

In its weekly e-newsletter, the Integrity in Science Watch project of the Center for Science in the Public Interest offers its "Cheers & Jeers" section on health journalism's coverage of conflicts of interest among sources. This week they wrote:

Cheer to Mike Stobbe of the Associated Press for reporting the financial ties to General Electric of C. Daniel Johnson of the Mayo Clinic, who was lead researcher for a study published in the New England Journal of Medicine last week that showed virtual colonoscopy using CT scanning machines, which GE manufactures, was just as effective as regular colonoscopy for detecting colon polyps that can lead to cancer.

Jeer to Judith Graham of the Chicago Tribune for failing to note Johnson’s ties to GE in her story on the colon cancer screening study.

Jeer to Liz Szabo of USAToday, who quoted Harvard Medical School emeritus professor Robert Fletcher touting the availability of new and better colon cancer screening tests, for failing to note that Fletcher is a financial consultant to Exact Sciences, which is seeking Food and Drug Administration approval for a stool DNA colon cancer screening test. Fletcher's ties to Exact Sciences were revealed in an NEJM editorial.

Science by news release

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Sandy Szwarc, on her Junkfood Science blog, blasts lazy news coverage this week of "a study reportedly finding that acupuncture works to reduce the side effects of breast cancer treatment as effectively as conventional medicine, without the side effects."

She counted at least 144 news stories and tied them to a news release issued by the Henry Ford Health System. She wrote:

"Whether it’s been from WebMD to the New York Times and every media outlet in between, the medical news has all simply repeated the script provided in the press release. ABC’s medical science reporter, John McKenzie, hadn’t even read the press release carefully to catch the date the abstract was to be presented and in his story published three days before it happened, he said the findings “were presented today at the ASTRO annual meeting,� as if he’d been there!

What are press releases? Marketing, of course. ...

The level of media hype this week far outstripped the scientific merits of this research, but, no doubt, will encourage the spending of countless dollars on a modality that the strongest evidence suggests is little more than a placebo. That concerns us, too. At a time when everyone is talking about how expensive our healthcare system is, we can’t afford to waste public resources, or our insurance premiums. Dr. Walker was quoted in USA Today this morning lamenting that “many insurance plans don’t cover acupuncture,� while they do cover the medication. Surely, all of this marketing wasn’t about money.

Saddest is the false hope and misinformation that untold numbers of breast cancer patients heard this week, the subtle reinforcement of feelings of distrust and inferiority of their medical care and modern medicine, and the disservice these media stories provide by exploiting women at the most vulnerable time in their lives."

CJR's column, "Something's Rotten in Roanoke," raises some important questions, although it doesn't answer any of them.

It is clear that the once formidable wall that once stood between the advertising departments and the news departments now looks like Swiss cheese in many news organizations.

If you thought I had criticisms of Friday night's "Stand Up To Cancer" telethon, read Sandy Szwarc's much more in-depth analysis on her JunkFood Science blog.

Don't look for this kind of critical analysis in any of the mainstream media; many of them were "partners" in the deal.

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This page is an archive of entries from September 2008 listed from newest to oldest.

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