The Atlantic has a great med article: Much of what medical researchers conclude in their studies is misleading, exaggerated, or flat-out wrong. So why are doctors—to a striking extent—still drawing upon misinformation in their everyday practice? Dr. John Ioannidis has spent his career challenging his peers by exposing their bad science.
This surely makes great sense to anyone..
Just having a good talk with the patient and getting a close history is much more likely to tell me what’s wrong
And randomized trial showing that can be read where?
Another example of expert overconfidence, nothing more.
In 2008, Medicare was 20% of US med spending, Medicaid was 15%.
The elderly contribute the bulk of the costs to our healthcare system. Aaron says the RAND study did not look at the elderly. Is there a study which did include elderly subjects that you trust?
TGGP, I don't want to spend my life repeating the same old points about the medical studies. It gets boring. I trust a randomized experiment lots more than a correlation study, and trust the measures and tests initially designed for a randomized experiment much more than measures and tests cooked up after seeing the data. The correlation study you point to also had pretty marginal results.
Aaron Carroll at the Incidental Economist says we can't generalize from RAND because it didn't include the elderly, and that making them pay more out of pocket increases total costs. Any thoughts on that post or their recent series on why U.S healthcare is so expensive?