Yeah, it's more like "after you cover the basics, more money doesn't give better outcomes". But I haven't read him much on this. No opinion
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Replying to @simplic10
How is "after you cover the basics" supposed to be interpreted? I mean, for any condition, the basics is what has more or less been proven to work.
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Replying to @SR71999 @simplic101 reply 0 retweets 0 likes
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Replying to @literalbanana @simplic10
So I take it this "But if medicine is good for the poor and *sick*, can’t we presume it is good for *everyone*?" (my emphasis) is key.
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This "...folks went wild getting stuff checked out that they’d been ignoring, and all that extra treatment of symptoms they could have ignored for longer led to lots of false positives on tests and over-treatment, making them worse on average." makes perfect sense.
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But this is far more nuanced than the original wording.
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Replying to @SR71999 @simplic10
not sure what the debate is? people believed in medicine way before the 40s and continue to do so idk
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Replying to @literalbanana @simplic10
What he said: "What we are MOSTLY getting out of medicine is what we get out of kissing a boo-boo." = What we are mostly getting is no more than placebo. What he meant: After accounting for the genuinely sick, medicine is an opportunity to signal and more harmful than not.
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Replying to @SR71999 @simplic10
indeed! there are a few more caveats - lots of what is done for the genuinely sick is wasted I’m sure
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Replying to @literalbanana @simplic10
Lots, no doubt, but one has to be extremely careful in generalizing. There are plenty of chronic genetic and idiopathic conditions in which doing nothing is the worst thing you can do, especially those for which therapy has been established with countless rcts, obs studies, etc.
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also stuff like if you temporarily can’t breathe from like severe flu and need a respirator
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Replying to @literalbanana @simplic10
I don't know as much about the signalling theory--it seems to me he overlooks that many people 1) hide their illness from others 2)actively avoid taking medicine for fear of side effects. But with that said, the topic of risk in medicine and procedures is certainly valuable.
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