Healthy Skepticism Library item: 5777

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: Journal Article

Skala N, Hellander I.
A review of data on the U.S. health sector: summer 2005.
Int J Health Serv 2006; 36:(1):157-76

Abstract:

This report presents information on the state of the U.S. health sector in late summer 2005. It includes data on the uninsured and underinsured and their access to health care, on socioeconomic inequalities in health care, and on the rising costs of health insurance. It also presents information on the role of corporate money in health and health care, focusing on the pharmaceutical and hospital industries. The authors include an update on Medicare HMOs and the prescription drug bill, the results of some recent public opinion polls on health care, and some international comparisons of health systems. The article ends with recent data on health (medical) savings accounts and high-deductible insurance plans.

Keywords:
Canada Drug Industry Health Care Costs/statistics & numerical data Health Care Costs/trends Health Care Sector/statistics & numerical data Health Care Sector/trends* Health Care Surveys* Health Maintenance Organizations/economics Health Services Accessibility/statistics & numerical data* Health Services Accessibility/trends Health Surveys* Humans Insurance Coverage/statistics & numerical data Insurance Coverage/trends Insurance, Pharmaceutical Services/economics Insurance, Pharmaceutical Services/legislation & jurisprudence International Cooperation Medical Savings Accounts/economics Medically Uninsured/statistics & numerical data Medicare/economics Medicare/legislation & jurisprudence Socioeconomic Factors United States

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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