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Healthy Skepticism Library item: 17144

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Report

Cassels A, van Wiltenburg J, Armstrong W
What’s in a Scan? How well are consumers informed about the benefits and harms related to screening technology (ct and pet scans) in Canada?
Canadian Centre for Policy Alternatives 2009 Mar
http://www.policyalternatives.ca/sites/default/files/uploads/publications/National_Office_Pubs/2009/Whats_in_a_Scan.pdf


Abstract:

Private medical imaging companies in Canada are
marketing health screening services to consumers,
and yet the impacts of such screening have
not been well studied. When used as tools to diagnose
illness, CT (computed tomography) or PET
(positron emission tomography) machines can
be invaluable aids in determining a patient’s best
treatment options. But when otherwise healthy
people become convinced of the benefits of “predisease”
screening and pay to have heart, lung,
or full body scans performed, they are entering
a health-care marketplace that offers very few
protections. Screening tests being promoted to
Canadian consumers are often marketed under
the pretence that such screening can “save your
life” despite the fact that neither the scientific
literature nor professional or regulatory bodies
condone such practices. The potential for false
positive results (leading to cascading procedures,
unnecessary patient anxiety, patient harm from
radiation, as well as the potential harm to community
health systems) makes this an area worthy
of further study.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909