| | Paul, good points. Re: the physician-as-executioner thing, yeah, big omission on my part. The number of folks brought to an early demise via 'care' is astronomical:
-folks killed by doctor/health practitioner error (wrong drug, wrong dose, etc): more than 100,000 annually
-folks killed by otherwise-competent doctor/health practitioner intervention (inherent lethality of drugs and other interventions, given at the CORRECT time, and in the CORRECT dose): more than 100,000 annually
-total loss of life due to conventional medicine interventions: more than 200,000 annually (deaths roughly equivalent to 4 Vietnam Wars, occurring somewhat silently -- every year)
Paul, I respectfully disagree with you that this amount of lost life is either unavoidable -- or even worth the 'benefits'.
Data sources (most recent to least): ============== ============== de Carvalho M, Vieira AA. [Medical errors in hospitalized patients] J Pediatr (Rio J). 2002 Jul-Aug;78(4):261-8. Portuguese.
"In the USA, approximately one million of patients/year are victims of medical errors and adverse drug events. Today, deaths resulting from these episodes are the fourth cause of mortality in the USA." ============== ============== Ingelman-Sundberg M. Pharmacogenetics: an opportunity for a safer and more efficient pharmacotherapy. J Intern Med. 2001 Sep;250(3):186-200. Review.
"Besides patients who do not respond to the treatment despite receiving expensive drugs, adverse drug reactions (ADRs) as a consequence of the treatment, is estimated to cost the US society 100 billion USD and over 100,000 deaths per year." ============== ============== White TJ, Arakelian A, Rho JP. Counting the costs of drug-related adverse events. Pharmacoeconomics. 1999 May;15(5):445-58. Review.
"Adverse drug events occur frequently and lead to a significant number of fatalities each year. It has been estimated that fatalities directly attributable to adverse drug reactions are the fourth to sixth leading cause of death in US hospitals, exceeding deaths caused by pneumonia and diabetes. The economic burden resulting from drug-related morbidity and mortality is equally significant and has been conservatively estimated at $US30 billion dollars annually, and could exceed $US130 billion in a worst-case scenario." ============== ============== Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA. 1998 Apr 15;279(15):1200-5.
"We excluded errors in drug administration, noncompliance, overdose, drug abuse, therapeutic failures, and possible ADRs."
"We estimated that in 1994 overall 2216000 (1721000-2711000) hospitalized patients had serious ADRs and 106000 (76000-137000) had fatal ADRs, making these reactions between the fourth and sixth leading cause of death." ============== ==============
Ed
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