How Medical Ripoffs Threaten Your Health and Financial Security
March 06, 2013
Story at-a-glance
According to a scientific review, the practice of using a type
of starch intravenously to replace lost blood volume in
critically ill patients is based on studies “loaded with
fraudulent data,” and may increase their risk of death or kidney
failure
According to a British poll from last year, more than one in 10
scientists and doctors claimed to have witnessed colleagues
deliberately fabricating data in order to get their research
published
The Choosing Wisely campaign has issued a second report adding
90 medical tests and procedures that are best avoided, as they
provide no benefit, or do more harm than good
By Dr. Mercola
I have enormous respect for the scientific method, and I
believe, when properly applied, it can provide us with profound
and valid truths that can guide and direct our treatment
strategies.
But what many people fail to appreciate is that much of the
research published has been deeply influenced and severely
tainted by tremendous conflicts of interest and profit-driven
motives.
Shockingly, according to a British poll from last year, more
than one in 10 scientists and doctors claimed to have witnessed
colleagues deliberately fabricating data in order to get their
research published.1
Needless to say, this kind of medical and scientific fraud
has profound implications for patients. After all, published
research is used to devise medical recommendations for patients
across the country, if not the world.
Other hallmarks of the American health care system are gross
overcharges, billing fraud, and the routine use of tests and
treatments that have little or no benefit—or worse, do more harm
than good.
Fraudulent Data May Have Led to Use of Risky Treatment in ICUs
One of the latest examples of scientific fraud endangering
patients is that of a type of starch (hydroxyethyl), which is
used intravenously to replace lost blood volume in critically
ill patients. A recent report by MedicineNet.com2
reveals that this practice turns out to be based on studies
“loaded with fraudulent data,” and actually does more harm than
good:
“'According to a new review article in the Feb. 20
issue of the Journal of the American Medical Association,3
the starchy solution may instead boost their risk of death
or kidney failure,' the featured article says.
'Almost certainly, what is happening is that some of
the starch molecules leak out of blood vessels into the
kidney itself so the kidney doesn't work as efficiently,'
said Dr. David Taylor, chairman of pulmonary and critical
care medicine at Ochsner Health System in New Orleans. He
was not involved in the new review.”
The issue was initially uncovered in 2011, when investigators
discovered that a majority of the research conducted by Dr.
Joachim Boldt, a German anesthesiologist, contained fraudulent
data. Several of his studies were subsequently retracted. When
Dr. Boldt’s research was excluded from the pool of available
research on the treatment, hydroxyethyl starch was found to be
associated with an increased risk of death, kidney
failure, and need for dialysis.
“Luckily for American patients, hydroxyethyl starch
is not commonly used in the United States, Taylor said. But
the new analysis serves as a cautionary tale on how
fraudulent data can end up endangering patients' lives.”4
Medical Waste: 90 More Unnecessary Tests and Procedures Called
Out
In related news, a second report has been issued by the
Choosing Wisely campaign,5
sponsored by the Foundation of the American Board of Internal
Medicine. The list was compiled by 17 specialty groups
representing more than 350,000 doctors. Last year’s report
warned doctors against using 45 tests, procedures and treatments
that either provide no benefit, or worse, do more harm than
good. This year, another 90 tests and treatments were added to
the list. As reported by NPR:6
“The idea is to curb unnecessary, wasteful and often
harmful care, its sponsors say — not to ration care. As one
foundation official pointed out last year, rationing is
denial of care that patients need, while the Choosing Wisely
campaign aims to reduce care that has no value.”
Examples of care deemed to be of little or no benefit include
the following. To learn more, I encourage you to browse through
the Choosing Wisely web site,7
as they provide informative reports on a wide variety of medical
specialties, tests, and procedures.
Using feeding tubes in patients with advanced
dementia. Assisting such patients to take food
by mouth is more advantageous to the patient
EEGs on patients with recurring headaches.
The test does not improve diagnosis or outcome, only
increases cost
Routine annual PAP tests on women between the
ages of 30-65. Once every three years is enough
Leaving implantable defibrillator onwhen a patient with incurable disease has
elected to forgo resuscitation
Using cough and cold medicine in children under
the age of four suffering from respiratory illness.
These medications offer little benefit, can have serious
side effects and can lead to accidental overdose
Repeat bone scans for osteoporosis more
frequently than bi-annually. Healthy women over
67 with normal bone mass can go up to 10 years without
repeat bone scan
Use of benzodiazepines such as Valium,
sedatives, or sleep aids in older adults with insomnia,
agitation or delirium. These drugs more than
double risk of auto accidents, falls, hip fractures, and
death
Screening healthy individuals for cancer using
CT or PET scans, as the likelihood of finding
cancer with these means is only about one percent. The
scans are likely to detect harmless growths, which lead
to additional tests, biopsies and unnecessary surgeries
Inducing labor or performing a cesarean section
for a baby who's less than full term
without medical cause. Labor induction and/or
C-section can increase the risk of learning disabilities
and respiratory problems
Routine CT scans on children with minor head
injuries. Simple observation is just as good,
and spares the child from radiation-related health risks
American Pays the Most for Health Care But Gains the Least...
When you start to consider the volume of unnecessary drugs,
tests, procedures, and surgeries conducted each and every day,
the reason why Americans spend twice as much on health care per
capita than any other nation on the planet, yet still
rank dead last in terms of
quality of care among industrialized countries becomes
clearer.
According to a 2011 report by the global consulting firm
Milliman, annual healthcare costs for the average American
family of four, if covered by a preferred provider organization,
is a staggering $19,393.8
Between 2002 and 2011 alone, the average cost of health care for
American families doubled. A recent article lists 50
signs that the US health care system is a gigantic money making
scam that is about to collapse.9
This list includes the following amazing statistics:
This year the American people will spend approximately
2.8 trillion dollars on health care, and it is being
projected that Americans will spend 4.5 trillion dollars on
health care in 2019
If the U.S. health care system was a country, it would
be the 6th largest economy on the entire planet
Approximately 60 percent of all personal bankruptcies in
the United States are related to medical bills
The U.S. health care industry has spent more than 5
billion dollars on lobbying our politicians
in Washington D.C. since 1998
The U.S. ambulance industry makes more money each year
than the movie industry
However, it’s not just a matter of ignorantly doing too many
things that provide little value or benefit. The United States’
health care system is also fraught with gross overcharges and
outright billing fraud. In a recent Time Magazine
interview,10
Steven Brill discussed his cover story, Bitter Pill:
“Simple lab work done during a few days in the
hospital can cost more than a car. A trip to the emergency
room for chest pains that turn out to be indigestion brings
a bill that can exceed the price of a semester at college.
When we debate health care policy in America, we seem to
jump right to the issue of who should pay the bills, blowing
past what should be the first question:
Why exactly are the bills so high? Steven Brill spent
seven months analyzing hundreds of bill from hospitals,
doctors, and drug companies and medical equipment
manufacturers to find out who is setting such high prices
and pocketing the biggest profits.”
Bitter Pill—The Absurd Costs of American Health Care
In Bitter Pill: Why Medical Bills are Killing Us,11
Brill dissects our profit-driven sickness management industry
posing as health care. It’s a fascinating piece, and I highly
recommend reading in its entirety. In it he writes, in part:
“Recchi’s bill and six others examined line by line
for this article offer a closeup window into what happens
when powerless buyers... meet sellers in what is the
ultimate seller’s market.
The result is a uniquely American gold rush for those
who provide everything from wonder drugs to canes to
high-tech implants to CT scans to hospital bill-coding and
collection services. In hundreds of small and midsize cities
across the country... the American health care market has
transformed tax-exempt 'non-profit' hospitals into the
towns’ most profitable businesses and largest employers,
often presided over by the regions’ most richly compensated
executives.
And in our largest cities, the system offers lavish
paychecks even to midlevel hospital managers, like the 14
administrators at New York City’s Memorial Sloan-Kettering
Cancer Center who are paid over $500,000 a year, including
six who make over $1 million.
Taken as a whole, these powerful institutions and the
bills they churn out dominate the nation’s economy and put
demands on taxpayers to a degree unequaled anywhere else on
earth. In the U.S., people spend almost 20% of the gross
domestic product on health care, compared with about half
that in most developed countries. Yet in every measurable
way, the results our health care system produces are no
better and often worse than the outcomes in those countries.
According to one of a series of exhaustive studies done by
the McKinsey & Co. consulting firm, we spend more on health
care than the next 10 biggest spenders combined: Japan,
Germany, France, China, the U.K., Italy, Canada, Brazil,
Spain and Australia.
We may be shocked at the $60 billion price tag for
cleaning up after Hurricane Sandy. We spent almost that much
last week on health care. We spend more every year on
artificial knees and hips than what Hollywood collects at
the box office...”
General Health Checkups and Medical Screening Tests—Do You
Really Need Them?
Last year I interviewed
Alan Cassels, a drug policy researcher at the University of
Victoria in British Columbia, and author of several books,
including Seeking Sickness: Medical Screening and the
Misguided Hunt for Disease, which addresses medical
screening and disease prevention.
There is an enormous amount of effort and research invested
in the traditional community into medical screening procedures,
which conventional medicine views as "prevention." This is a
fatally flawed view since diagnostic tools, some of which are
grossly inaccurate, cannot actually prevent disease from
occurring. They can only help diagnose what has already
occurred. Furthermore, regular screening tends to increase
unnecessary use of medicines, and you may receive a diagnosis
and treatment for a “condition” that might never have led to any
symptoms or had any impact on your longevity...
Much like myself, Cassels research has led him to seriously
question common tests like mammography for breast cancer, and
the PSA test for prostate cancer. According to Cassels:
"[S]o much of what we consider to be disease in the
orthodox medicine world has been created, has been shaped,
and has really been molded by the pharmaceutical industry.
And very much what we consider to be medicine is determined
by the kinds of things that end in what the drug industry
calls the 'drug successful visit.' Not just anything that we
potentially could be sick with, but anything that any
healthy person could get.
And really, screening is about looking in
healthy people to find signs of disease.
I want to distinguish right off the bat that when I'm
talking about screening, I'm talking about people who have
no symptoms, who are otherwise healthy, and who have really
no reason to consult the doctor or being told, 'You need to
be proactive. You need to seek out early signs of disease.
That's a good thing to do to keep yourself healthy.' People
that actually have symptoms – feel a lump or whatever – and
then go in for a test, that's a diagnostic test. That's
something different. I'm talking about a screening test
where you're taking otherwise healthy people and trying to
find signs of disease in them."
The U.S. health care system surely has a lot of room for
improvement. Since the United States has the highest infant
mortality rate among high income countries, and ranks dead last
in terms of life expectancy among 17 affluent nations, it's
obvious that money doesn't buy health. The answer, then, to
better health must be something else. When it comes to figuring
out what that "something else" is, I don't think there's anyone
in the medical community who doesn't agree that simply changing
your lifestyle can go a long way toward "fixing" a number of
chronic conditions, such as diabetes. As identified by the NIH,12
five life-changing factors that can do this are:
Following a healthy diet
Maintaining an optimal body weight
Engaging in regular physical activity
Not smoking
Keeping alcohol use to no more than one drink per day
for women, and two drinks per day for men
What Constitutes a Healthy Lifestyle?
That's not an impossible list. The great thing about these
behavior changes is that they don't cost extra money to do – and
they're almost guaranteed to save you money in the long run. I
would add a few things to this list, though. Of all the healthy
lifestyle strategies I know of that can have a significant
impact on your health, normalizing your insulin and leptin
levels is probably the most important.
There is no question that this is an absolute necessity if
you want to avoid disease and slow down your aging process. That
means modifying your diet to avoid excessive amounts of
fructose, grains, and other pro-inflammatory ingredients like
trans fats. In addition to the items mentioned above, these
additional strategies can further help you stay healthy:
Learn how to effectively cope with stress
– Stress has a direct impact on inflammation, which in turn
underlies many of the chronic diseases that kill people
prematurely every day, so developing effective coping
mechanisms is a major longevity-promoting factor.
Meditation, prayer, physical activity and exercise are
all viable options that can help you maintain emotional and
mental equilibrium. I also strongly believe in using energy
psychology tools such as
the Emotional Freedom Technique (EFT) to address deeper,
oftentimes hidden emotional problems.
Optimize Your Vitamin D Levels to
between 50 and 70 ng/ml, ideally by exposing enough of your
skin to sunshine or a safe tanning bed.
High-Quality Animal based omega-3 fats
– Correcting the ratio of omega-3 to healthful omega-6 fats
is a strong factor in helping people live longer. This
typically means increasing your intake of animal based
omega-3 fats, such as krill oil, while decreasing your
intake of damaged omega-6 fats (think trans fats).
Get most of your antioxidants from foods
– Good sources include blueberries, cranberries,
blackberries, raspberries, strawberries, cherries, beans,
and artichokes.
Use coconut oil – Another excellent
anti-aging food is coconut oil, known to reduce your risk of
heart disease and Alzheimer's disease, and lower your
cholesterol, among other things.
Avoid as many chemicals, toxins, and pollutants
as possible – This includes tossing out your toxic
household cleaners, soaps, personal hygiene products, air
fresheners, bug sprays, lawn pesticides, and insecticides,
just to name a few, and replacing them with non-toxic
alternatives.
Avoid prescription drugs –
Pharmaceutical drugs kill thousands of people prematurely
every year – as an expected side effect of the action of the
drug. And, if you adhere to a healthy lifestyle, you most
likely will never need any of them in the first place.
However if you are currently taking prescription drugs it is
best to work with a trained natural health care professional
to help you wean off of them.
Take Control of Your Health
Incorporating these healthy lifestyle guidelines will help
set you squarely on the path to optimal health and give you the
best shot at living a much longer life. Remember, it's never
too late to take control of your health. And when you do go
to the doctor, know that it's OK to ask questions and opt for
less medical intervention while choosing a more natural way of
healing your body – you should NEVER think that you're not
supposed to, or can't, ask questions of the person you've
entrusted with your body and health.
Also, while it’s important to find a doctor who is willing
and able to keep up with the research, it’s equally important to
realize that the field of medical research has become inundated
with and corrupted by the same greed guiding our health care
system.
Scientific fraud occurs far more often than one might
suspect, so common sense and digging a little deeper
into the research is always a good idea—especially if your
physical welfare is hanging in the balance. If the problem is
acute, this may not be possible, but if you’re trying to address
chronic, long-term health issues, I would urge you to become
more personally involved in your own treatment.