ISBN 10: 022604971X / ISBN 13: 9780226049717
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Inhaltsangabe: Will ever-more sensitive screening tests for cancer lead to longer, better lives? Will anticipating and trying to prevent the future complications of chronic disease lead to better health? Not always, says Robert Aronowitz in Risky Medicine. In fact, it often is hurting us. Exploring the transformation of health care over the last several decades that has led doctors to become more attentive to treating risk than treating symptoms or curing disease, Aronowitz shows how many aspects of the health system and clinical practice are now aimed at risk reduction and risk control. He argues that this transformation has been driven in part by the pharmaceutical industry, which benefits by promoting its products to the larger percentage of the population at risk for a particular illness, rather than the smaller percentage who are actually affected by it. Meanwhile, for those suffering from chronic illness, the experience of risk and disease has been conflated by medical practitioners who focus on anticipatory treatment as much if not more than on relieving suffering caused by disease. Drawing on such controversial examples as HPV vaccines, cancer screening programs, and the cancer survivorship movement, Aronowitz argues that patients and their doctors have come to believe, perilously, that far too many medical interventions are worthwhile because they promise to control our fears and reduce uncertainty. Risky Medicine is a timely call for a skeptical response to medicine's obsession with risk, as well as for higher standards of evidence for risk-reducing interventions and a rebalancing of health care to restore an emphasis on the actual curing of and caring for people suffering from disease.

Rezension: "How did risk reduction become the mantra of modern medicine? "Risky Medicine" tells the important story of how disease and the risk of it have become collapsed to the point that it's no longer always clear which one we're actually treating. A physician and historian of medicine, Aronowitz surprises the reader with his counterintuitive arguments but never oversimplifies debates or caricatures the doctors, researchers, patients, and policy makers who figure in this compelling and incisive account. He shows us how medicine's risk revolution "matters," both for individuals who must manage their fears in the face of uncertainty and for societies intent on improving health outcomes while controlling costs."--Steven Epstein, author of Inclusion: The Politics of Difference in Medical Research

"Risky Medicine" examines the tremendous implications of the collapsing of risk and disease in contemporary American biomedicine.Across a series of historical and contemporary cases, and with great acuity, clinician/historian Aronowitz explains how we have come to the point where much of our medical care, health policy, and patient experience is shaped less by illness itself than its potential threat. This immensely intelligent, bold, yet humane book offers vital insight into the problems of overtreatment as well as new dimensions of embodiment and anxiety that follow from our focus on risk. --Julie Livingston, author of Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic"

In "Risky Medicine," Aronowitz brilliantly analyzes the essential ironies of contemporary biomedicine. In our efforts to reduce the risk of disease, we may augment those very risks. In our efforts to reduce uncertainties about our health, we introduce new uncertainties. The traditional medical dictum of do no harm becomes virtually impossible in a technocentric medical world of monitoring, testing, and treatment. Physicians, historians, policy makers, and patients will all benefit from this powerful precautionary tale. --Allan M. Brandt, author of The Cigarette Century"

An important, timely, and provocative analysis of our contemporary style of managing and experiencing disease. In today's world of risky medicine we have come to diagnose and treat likelihoods risk as much as pain and incapacity, without evaluating the costs as well as benefits of this novel medical regime. Aronowitz s forceful analysis makes clear the necessity for that critical evaluation; this book should be widely and enthusiastically reviewed. --Charles E. Rosenberg, author of Our Present Complaint: American Medicine, Then and Now"

Risky Medicine examines the tremendous implications of the collapsing of risk and disease in contemporary American biomedicine.Across a series of historical and contemporary cases, and with great acuity, clinician/historian Aronowitz explains how we have come to the point where much of our medical care, health policy, and patient experience is shaped less by illness itself than its potential threat. This immensely intelligent, bold, yet humane book offers vital insight into the problems of overtreatment as well as new dimensions of embodiment and anxiety that follow from our focus on risk. --Julie Livingston, author of Improvising Medicine: An African Oncology Ward in an Emerging Cancer Epidemic"

In Risky Medicine, Aronowitz brilliantly analyzes the essential ironies of contemporary biomedicine. In our efforts to reduce the risk of disease, we may augment those very risks. In our efforts to reduce uncertainties about our health, we introduce new uncertainties. The traditional medical dictum of do no harm becomes virtually impossible in a technocentric medical world of monitoring, testing, and treatment. Physicians, historians, policy makers, and patients will all benefit from this powerful precautionary tale. --Allan M. Brandt, author of The Cigarette Century"

How did risk reduction become the mantra of modern medicine? Risky Medicine tells the important story of how disease and the risk of it have become collapsed to the point that it s no longer always clear which one we re actually treating. A physician and historian of medicine, Aronowitz surprises the reader with his counterintuitive arguments but never oversimplifies debates or caricatures the doctors, researchers, patients, and policy makers who figure in this compelling and incisive account. He shows us how medicine s risk revolution matters, both for individuals who must manage their fears in the face of uncertainty and for societies intent on improving health outcomes while controlling costs. --Steven Epstein, author of Inclusion: The Politics of Difference in Medical Research"

In this important new book, Aronowitz shows us how all aspects of the US health system, from prevention to cure, hospital stays to outpatient visits, fee-for-service to managed care, have become entangled in a sprawling morass of risky medicine a preoccupation with reducing and managing risks of future disease rather than treating present illness. Risky Medicine skillfully traces how it is thatwe came to think of health and disease in terms of risks instead of symptoms, demonstrates why our increasing concern with risk leads to more healthcare spending without necessarily improving quality of life, and offers keen analysis and concrete policy suggestions to rethink the role of risk in health policy and medical practice. This should be required reading for anyone with a serious interest in the past, present, or future of health care in America. --Jeremy Greene, author of Generic: The Unbranding of Modern Medicine"

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