Uncategorized

Stabbed in the Back

Nortin Hadler, UNC physician and author, has a new book out this week on lower back pain and its treatment in our overtreated society. Hadler is a well-known critic of the estimated 1/3 of medical care costs we spend on treatments that are ineffective or even harmful. The fact that treatment of lower back pain – both surgery and otherwise – fits into this shady realm isn’t exactly a mystery. Even the New York Times has a one-page overview of the lack of evidence that much of any treatment works for adult lower back pain. Hadler goes beyond this simple fact though to argue that not only are we wasting billions of dollars but that we in many cases are harming ourselves with the treatments we seek. Finally, the way our entire health system is designed when, for example, payment is by procedure or test, contributes to the problem.

The idea that your doctor may not be prescribing the best treatment for you isn’t one that wins any polls in the national health reform debate. However, if we are to honestly confront the enormous costs of our health system we must confront the very issues that we don’t want to talk about – some of the many treatments we see as the pinnacle of technological medicine are the very ones that are not only bankrupting us but causing many more health problems than they solve. At this point, I believe we are extremely likely to get some version of national health reform through Congress. The next step is the one Hadler is already confronting: How to really bring down costs as we move forward.

 

One Comment


  1. Dan

    October 8, 2009 at 4:22 pm

    the culprit is fee-for-service reimbursement

Check Also

Senator Richard Burr: Makes up his own facts about NC Medicaid in order to criticize it

North Carolina’s Senator Burr used to be a ...

Top Stories from NCPW

  • News
  • Commentary

Congress has just a few days left this month to enact legislation that would address the immigration [...]

12.2 million - the number of people nationally who signed up for health care coverage using HealthCa [...]

Frenches Creek Finishing lies in the watery lowlands of Bladen County, near Lion Swamp, Conkill and [...]

Historical commission member weighs in on monuments, free speech Valerie Johnson is the Mott Disting [...]

“All speech is free, but some speech is more free than others.” This seems to be the motto of the cu [...]

Trumpists prepare to raze another vital common good law It’s hard to keep up these days with the flo [...]

The post That’s how ‘Humbug’ is done appeared first on NC Policy Watch. [...]

The solid citizens of Johnston County, N.C. – in a fateful quirk of geography – for several years ha [...]

Featured | Special Projects

NC Budget 2017
The maze of the NC Budget is complex. Follow the stories to follow the money.
Read more


NC Redistricting 2017
New map, new districts, new lawmakers. Here’s what you need to know about gerrymandering in NC.
Read more