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Health care, Woo-Woo, and the Spread of Superstition

Did you read where whooping cough has been declared epidemic in California? It’s an entirely preventable disease that kills little children. There’s an easy way to keep your kids from getting miserably sick or even dying from this disease: vaccinate them.

Sadly, Americans have for some years been resisting calls to immunize their kids against diseases that were once common scourges. Somehow folks have absorbed the idea that immunization is dangerous to kids, and that magically nothing bad will happen to children if they are not vaccinated. Despite solid scientific evidence to the contrary, some parents persist in imagining that childhood vaccines cause autism. Despite the indisputable fact that because of vaccination we no longer need to fear smallpox and polio, or typhus, tetanus, typhoid, cholera, diphtheria—horrible diseases that devastated populations—people have allowed unfounded theories to frighten them to the point of putting their children at serious risk.

Vaccines do not kill children. Whooping cough kills children. While it is true that the older version of whooping cough vaccine had some side effects, occasionally severe ones, the “acellular” type now in use does not bear much risk; in either event, the disease itself has always posed a greater threat to children than has vaccination.

Vaccines do not cause autism. No one knows for certain what causes autism, but it pretty clearly has something to do with genetics; removing thimerosal, the vaccine preservative alleged to have caused a purported rise in cases, has done nothing to reduce the rate of autism diagnoses. One thing you can be sure of, though: viral and bacterial diseases do cause death, long-term physical harm, and mental disability.

Why have Americans become so superstitious? Where do people get ideas so misguided that they are led to put their children at risk, in a country where universal education is required? Shouldn’t an educated populace be wiser and more aware of the facts?

Snake-oil-poster

One reason is that we are being blitzed with propaganda for so-called “alternative medicine,” an approach that, more often than not, amounts to snake oil. A friend of mine, hearing of the continuing pain from my three-month-old shoulder injury, gave me a large bottle of pills that, while legally required to be called a “nutritional supplement,” were sold to her as an anti-inflammatory. She remarked, in handing the stuff over to me, that although her friends had assured her it’s highly effective, it hadn’t done anything for her.

This product costs around $100 for a bottle of 800 pills. One is supposed to take six tablets a day—that’s considered a “maintenance” dose.

When I looked up the product on the Web, not one skeptical word about it appeared in page after page of Google results. High on the lists of results were blissful songs of praise to the stuff. We learn, to our mounting joy, that the product is a cure-all. Not only does it ease your aches and pains, it reduces the occurrence of injury among athletes; lowers blood pressure; lowers cholesterol; prevents strokes and heart attacks; treats pancreatic cancer, breast cancer, multiple sclerosis, and hepatitis; eases the pain of rheumatoid arthritis; supports your joints (whatever that means); and aids digestion.

A miracle.

The research supporting these claims? Minimal to none. The buzz about the stuff is emanating from purveyors of vitamins and dietary supplements, the product’s manufacturer and distributors, naturopaths, and various other “holistic” practitioners.
Try to find solid clinical studies of this product, and you come up blank. Some “research” is quoted here and there, but when you examine the sources, you quickly see it’s bogus. The NIH and FDA have done nothing, as far as I can tell, to look into the product, whose sales in Germany are second only to aspirin. Adding tags like .edu to a Google search does nothing to bring up anything resembling actual science.

Adding “scam” and “snake oil” to the product’s brand name will bring up a few reports showing that the stuff does nothing for MS—but even with that search string, the results are full of sales pitches and ecstatic testimonials.

That notwithstanding, when the pain flared up a few days ago, I tried the pills. True to standard snake-oil claims, the product was said to cause few or no side effects, although its manufacturer notes it can cause an upset stomach and diarrhea.

Well, yes. It made me good and sick to my stomach but did nothing for the pain.

Lordie. We need to get out of Woo-Woo Land, both politically and intellectually. Part of the reason so many people subscribe to Woo-Woo is that our healthcare system is so poor. In quality of healthcare, the U.S. ranks at the bottom among developed nations. If you can’t get access to a doctor, you can’t get enough of her time to get diagnosed and treated effectively, or you can’t afford the treatment, you naturally seek alternatives. Unfortunately, many or most of these alternatives are unproven, ineffective, and sometimes downright unsafe.

Equally unfortunate, the products are aggressively marketed by profit-seeking entities (imagine the worth of a product that can sell like aspirin!) and touted by practitioners who may  sincerely, if naively, buy into the hype. They’re making a great deal of money from alternative products and treatments. And when you try to look into the facts, you’re run around in circles—probably because there are no facts, only unsubstantiated claims and anecdotal stories, all of them coming from folks who have already bought into the propaganda.

The fact that people don’t recognize when they’re looking at “research” whose sources have an ax to grind speaks to another cause of the widespread taste for credulity: the lack of real, solid science education in our school systems. People don’t understand what the scientific method is and why it is a more valid way of seeking verifiable facts than are anecdote and unsubstantiated theory because they don’t learn science in the public schools. To the contrary, the forces of superstition work against the teaching of real science—textbook publishing is dominated by parties who think science is a faith-based system of beliefs, no different in that respect from their own religion, which they believe should take precedence in educating everyone’s children.

The predictable result of weak science education is…well, exactly what we have. Ignorance leading to epidemics of preventable diseases that kill children, and a population of gullible consumers prone to wasting their money on highly profitable, untested nostrums.

Insurance: Never a dull moment

Just got a notice from the Great Desert University that my health insurance plan–the only one that covers my doctor–will be dropped this August. Thank you so much, beloved employer.

Well, I knew it was too good to last. After a long series of health insurance fiascos (including one year when the only provider they offered was so awful that none of my doctors would accept it-one doctor refused to see me at all, even after I offered to pay him out of pocket), the state started self-insuring a couple of years ago. They’ve had an EPO plan run by Schaller-Anderson, which, incredibly, covered all my doctors, including the Mayo Clinic, for a monthly premium of $24. This was a huge improvement over the $220 I was paying for the PPO, which sorta allowed you to go to your choice of doctors but two years ago quit covering the Mayo.

When Aetna acquired Schaller-Anderson a few months back, I thought “Okay…say goodbye to that!” Right on.

So now I’ll either have to find another doctor (which I do not want to do) or once again buy incredibly pricey insurance on the open market. The last time I bought my own insurance, I ended up with an MSA (medical savings account) plan. Though it offered total flexibility and generous coverage, it was very expensive–premiums were about $250 a month, and you had to deposit $1500 a year to a savings account with piratical fees. It’s probably moot, though. At this point in my life, I’d be surprised if I could get health insurance outside a group plan at all.

Other than the Mayo, healthcare providers in this state leave a lot to be desired. When I had acute appendicitis, I almost died while sitting fruitlessly in the waiting room of a much-touted major regional medical center. After sitting there over four hours in exquisite agony without even so much as a triage, I left and got some friends to drive me to the Mayo Clinic’s ER-the EMTs would not take me there, even though it’s no further from my home than the Third-World hospital that offered no medical care. By then the infection was very advanced and my appendix was about to burst. The Mayo’s physicians performed emergency surgery, and the care I received was excellent from beginning to end. And “end” could have been the operative word: for older adults, a burst appendix is a life-threatening event with a much higher mortality rate than for younger victims.

I want my choice of doctors, and I want to be able to see the doctor I’ve been seeing for the past 40 years, who happens to practice at the Mayo. When HMOs first started to take over the healthcare industry in this country, he saw the proverbial handwriting on the wall. Coincidentally, the Mayo opened its Scottsdale clinic about then. He had been trained at the Mayo, and as soon as he could he rejoined that organization. It’s a hellacious long drive for me to get to his office (the hospital is much closer), but I must say that the care I’ve received by and large has been worth it.

he state, of course, would like to herd us all into HMOs. I will pay out of pocket before I go into one of those things.

My mother died hideously in the “care” (a term best used ironically) of the first HMO organized in Arizona. As it developed, the doctors had a financial interest in the operation: if it made money, so did they; if it lost money, they lost money. So, it ran powerfully contrary to their personal interest to diagnose a patient with an expensive terminal illness. They simply refused to admit the obvious–that she had cancer. And it was so obvious, my cat could have diagnosed it. But the problem was, if they allowed that she had cancer, they would have had to treat her, and that would have cost the HMO a ton of money. So they denied she was sick at all-the day before they were forced by my father’s demands and the implicit threat of a lawsuit to open her up for an exploratory, her doctor told me and my father that that my eminently sane and practical mother needed a psychiatrist. When he did find her (predictably) full of cancer, he dropped her cold. They stopped providing doctors to see her or to advise my father and me on her care. I had to openly threaten them with my lawyers–repeatedly!–to get even the most basic nursing care for her.

She would have died anyway, but she didn’t have to suffer the way she did. Thirty years ago, there wasn’t much they could do for cancer, but they did have pain-killers. Even had they refused to treat her, they could at least have given her morphine, so she didn’t lie in bed suffering the tortures of the damned through the last weeks and months of her life.

After that and some other amazing experiences in the American healthcare system, I’m very picky about the kind of insurance coverage I get. I’m willing to pay to the max to get coverage that will allow me to go to any doctor I choose and that will pick up the tab for the astronomical bills presented by the kinds of illnesses one is prone to later in life.

So, this time around I’m going to look at concierge practices, where you pay a fee upfront in exchange for getting a doctor’s attention. In theory, you can get appointments promptly and the doctor schedules more than 10 or 15 minutes to talk to you. You still have to keep your insurance, but you might be able to get a lower-cost plan or even just a major medical plan. The annual fee is usually around $1,500…but that’s a far cry from the $2,640 a year I was paying for the PPO that canceled my doctor.

There are a number of drawbacks to concierge medicine, one of which is the obvious social issue: it pushes the practice of medicine even further toward elitism. The rich get care; the rest of us take what we can scrounge up, which often ain’t much. In my part of the country, precious few doctors subscribe to this system, and it’s hard to know what their qualifications might be. Or disqualifications. In the MDVIP network, for example, most of the physician members in my area practice at John C. Lincoln hospital, a scary affair whose Dickensian ER is…well, overworked, shall we say. That’s where a doctor decided, after a cursory exam and no tests, that the appendicitis just starting to make itself known must be inflammatory bowel syndrome and prescribed a drug whose manufacturer’s label said, loud and clear, that it was contraindicated for women with my symptoms. I can hardly wait to go back there!

Do I demand “Cadillac care”? You bet. It’s my life and my health we’re talking about here. And in America today, “competent” care is defined as “Cadillac care.”

By and large the offerings are abysmal. In Arizona, for example, only one hospital has been rated by HealthGrades as truly excellent: the Mayo. John and Cindy McCain go to the Mayo. You and I don’t, because our insurance won’t cover it. Three hospitals were rated as “distinguished” (a cut below “excellent”) for their clinical practice: the Mayo, Scottsdale Healthcare-Osborn, and Del E. Webb in Sun City. Only one of those is even remotely within driving distance of the central part of the city, where I live. In the entire state, just three landed “distinguished” ratings for patient safety: the Mayo, Yavapai Regional Medical Center in Prescott, and Yuma Regional Medical Center.

I guess I could get bare-bones major medical coverage and then pay my doctor at the Mayo out of pocket. In only two years I’ll be eligible for Medicare, which does cover the Mayo. If I raid my savings and pay off the Renovation Loan now-meaning I won’t be buying a car anytime in the near future-I could take the $220 a month I would be paying for the PPO and set it aside to pay medical bills. It’s awfully risky, though…all it would take is a heart attack or a tumor to bankrupt me once and for all.

I also could sign up for the flex plan, which in the past has been a bit of a waste. I sure do hate to cut my take-home pay drastically, given that it provides me a grand $29 of play in my budget. Contrary to claims, I’ve never found the flex plan did a thing to save on income taxes; every time I’ve subscribed, it just meant cash gouged out of take-home pay that I was forced to spend on medical stuff whether I needed it or not. This has led to many unnecessary doctor’s visits and purchases of redundant pairs of glasses.

I’m thankful that I can afford to pony up $1,500 for access to a doctor, if indeed I decide to do so. But…am I the only person who thinks that this is a damned ridiculous pass for the alleged greatest nation on earth? If America is so great, how come we can’t provide decent health care for all our citizens, at an affordable price?

1 comment left on iWeb site

TM

I agree. My father has recently had some major health problems and was transfered from a Mesa hospital to Scottsdale-Osborn, one on the “distinguished” list. He had to remain in the hospital for 10 days and the discrepancy in care was startling. Even the food in Scottsdale was better. In our society, unfortunately, the almighty dollar rules all…even for products and services such as healthcare.