Subject: Doctors Killing Patients (Ashton).
Date: Fri, 08 Dec 2000 233218 -0600
From: Roy Beavers
To: guru
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This is a very challenging item..... The more so because of its
publication source.........guru.......
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Subject: Fwd: Doctors Killing Patients
Date: Fri, 8 Dec 2000 20:43:51 -0600 (CST)
From: timely@webtv.net (Dave Ashton)
To: guru@emfguru.com
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From: "Elania Emerson"
To:
Subject: Doctors Killing Patients
Date: Thu, 7 Dec 2000 17:25:56 -0500
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> ALL THESE ARE DEATHS PER YEAR:
>
> 12,000 -----unnecessary surgery 8
> 7,000 -----medication errors in hospitals9
> 20,000 -----other errors in hospitals 10
> 80,000 -----infections in hospitals 10
> 106,000 -----non-error, negative effects of drugs 2
>
> These total to 250,000 deaths per year from iatrogenic causes!!
>
> Journal of the American Medical Association
> Vol 284 July 26, 2000
>
> Doctors Are The Third Leading Cause of Death
> in the US Causing 250,000 Deaths Every Year
>
> by Joseph Mercola, D.O.
>
> This week's issue of the Journal of the American Medical
> Association (JAMA) is the best article I have ever seen written
> in the published literature documenting the tragedy of the
> traditional medical paradigm.
>
> This information is a follow-up of the Institute of Medicine
> report which hit the papers in December of last year, but the
> data was hard to reference as it was not in peer-reviewed
> journal. Now it is published in JAMA which is the most widely
> circulated medical periodical in the world.
>
> The author is Dr. Barbara Starfield of the Johns Hopkins School
> of Hygiene and Public Health and she desribes how the US health
> care system may contribute to poor health.
>
> What does the word iatrogenic mean? This term is defined as
> induced in a patient by a physician's activity, manner, or
> therapy. Used especially of a complication of treatment.
>
> Dr. Starfield offers several warnings in interpreting these
> numbers:
>
> First, most of the data are derived from studies in hospitalized
> patients. Second, these estimates are for deaths only and do not
> include negative effects that are associated with disability or
> discomfort. Third, the estimates of death due to error are lower
> than those in the IOM report.1
>
> If the higher estimates are used, the deaths due to iatrogenic
> causes would range from 230,000 to 284,000. In any case, 225,000
> deaths per year constitutes the third leading cause of death in
> the United States, after deaths from heart disease and cancer.
> Even if these figures are overestimated, there is a wide margin
> between these numbers of deaths and the next leading cause of
> death (cerebrovascular disease).
>
> Another analysis 11 concluded that between 4% and 18% of
> consecutive patients experience negative effects in outpatient
> settings,with:
>
> 116 million extra physician visits
> 77 million extra prescriptions
> 17 million emergency department visits
> 8 million hospitalizations
> 3 million long-term admissions
> 199,000 additional deaths
> $77 billion in extra costs.
>
> The high cost of the health care system is considered to be a
> deficit, but seems to be tolerated under the assumption that better
> health results from more expensive care. However, evidence from
> a few studies indicates that as many as 20% to 30% of patients
> receive inappropriate care.
>
> An estimated 44,000 to 98,000 among them die each year as a
> result of medical errors.2
>
> This might be tolerated if it resulted in better health, but does it?
> Of 13 countries in a recent comparison,3,4 the United States ranks
> an average of 12th (second from the bottom) for 16 available health
> indicators. More specifically, the ranking of the US on several
> indicators was:
>
> 13th (last) for low-birth-weight percentages
> 13th for neonatal mortality and infant mortality overall 14
> 11th for postneonatal mortality
> 13th for years of potential life lost (excluding external causes)
> 11th for life expectancy at 1 year for females, 12th for males
> 10th for life expectancy at 15 years for females, 12th for males
> 10th for life expectancy at 40 years for females, 9th for males
> 7th for life expectancy at 65 years for females, 7th for males
> 3rd for life expectancy at 80 years for females, 3rd for males
> 10th for age-adjusted mortality
>
> The poor performance of the US was recently confirmed by a World
> Health Organization study, which used different data and ranked
> the United States as 15th among 25 industrialized countries.
>
> There is a perception that the American public "behaves badly" by
> smoking, drinking, and perpetrating violence." However the data
> does not support this assertion.
>
> The proportion of females who smoke ranges from 14% in Japan to
> 41% in Denmark; in the United States, it is 24% (fifth best). For
> males, the range is from 26% in Sweden to 61% in Japan; it is
> 28% in the United States (third best). The US ranks fifth best for
> alcoholic beverage consumption.
>
> The US has relatively low consumption of animal fats (fifth
> lowest in men aged 55-64 years in 20 industrialized countries)
> and the third lowest mean cholesterol concentrations among men
> aged 50 to 70 years among 13 industrialized countries.
>
> These estimates of death due to error are lower than those in a
> recent Institutes of Medicine report, and if the higher estimates are
> used, the deaths due to iatrogenic causes would range from
> 230,000 to 284,000.
>
> Even at the lower estimate of 225,000 deaths per year, this
> constitutes the third leading cause of death in the US, following
> heart disease and cancer.
>
> Lack of technology is certainly not a contributing factor to the
> US's low ranking.
>
> Among 29 countries, the United States is second only to Japan in
> the availability of magnetic resonance imaging units and computed
> tomography scanners per million population. 17 Japan, however,
> ranks highest on health, whereas the US ranks among the lowest.
> It is possible that the high use of technology in Japan is limited to
> diagnostic technology not matched by high rates of treatment,
> whereas in the US, high use of diagnostic technology may be
> linked to more treatment. Supporting this possibility are data
> showing that the number of employees per bed (full-time
> equivalents) in the United States is highest among the countries
> ranked, whereas they are very low in Japan, far lower than can be
> accounted for by the common practice of having family members
> rather than hospital staff provide the amenities of hospital care.
>
> Journal American Medical Association Vol 284 July 26, 2000
>
> COMMENT: Folks, this is what they call a "Landmark Article". Only
> several ones like this are published every year. One of the major
> reasons it is so huge as that it is published in JAMA which is the
> largest and one of the most respected medical journals in the entire
> world. I did find it most curious that the best wire service in the
> world, Reuter's, did not pick up this article. I have no idea why they
> let it slip by.
>
> I would encourage you to bookmark this article and review it
> several times so you can use the statistics to counter the
> arguments of your friends and relatives who are so enthralled
> with the traditional medical paradigm. These statistics prove
> very clearly that the system is just not working. It is broken
> and is in desperate need of repair.
>
> I was previously fond of saying that drugs are the fourth leading
> cause of death in this country. However, this article makes it quite
> clear that the more powerful number is that doctors are the third
> leading cause of death in this country killing nearly a quarter
> million people a year. The only more common causes are cancer
> and heart disease. This statistic is likely to be seriously
> underestimated as much of the coding only describes the cause of
> organ failure and does not address iatrogenic causes at all.
>
> Japan seems to have benefited from recognizing that technology is
> wonderful, but just because you diagnose something with it, one
> should not be committed to undergoing treatment in the traditional
> paradigm. Their health statistics reflect this aspect of their
> philosophy as much of their treatment is not treatment at all, but
> loving care rendered in the home.
>
> Care, not treatment, is the answer. Drugs, surgery and hospitals
> are rarely the answer to chronic health problems. Facilitating
> the God-given healing capacity that all of us have is the key.
> Improving the diet, exercise, and lifestyle are basic. Effective
> interventions for the underlying emotional and spiritual wounding
> behind most chronic illness are also important clues to maximizing
> health and reducing disease.
>
> Related Articles:
>
> Medical Mistakes Kill 100,000 per year
>
> US Health Care System Most Expensive in the World
>
> Author/Article Information
>
> Author Affiliation: Department of Health Policy and Management,
> Johns Hopkins School of Hygiene and Public Health, Baltimore,
> Md. Corresponding Author and Reprints: Barbara Starfield, MD,
> MPH, Department of Health Policy and Management, Johns
> Hopkins School of Hygiene and Public Health, 624 N Broadway,
> Room 452, Baltimore, MD 21205-1996 (e-mail: bstarfie@jhsph.edu).
>
> REFERENCES
>
> 1. Schuster M, McGlynn E, Brook R. How good is the quality of
> health care in the United States? Milbank Q. 1998; 76:517-563.
>
> 2. Kohn L, ed, Corrigan J, ed, Donaldson M, ed. To Err Is Human:
> Building a Safer Health System. Washington, DC: National
> Academy Press; 1999.
>
> 3. Starfield B. Primary Care: Balancing Health Needs, Services,
> and Technology. New York, NY: Oxford University Press; 1998.
>
> 4. World Health Report 2000. Available at:
> http://www.who.int/whr/2000/en/report.htm. Accessed June 28,
> 2000.
>
> 5. Kunst A. Cross-national Comparisons of Socioeconomic
> Differences in Mortality. Rotterdam, the Netherlands: Erasmus
> University; 1997.
>
> 6. Law M, Wald N. Why heart disease mortality is low in France:
> the time lag explanation. BMJ. 1999; 313:1471-1480.
>
> 7. Starfield B. Evaluating the State Children's Health Insurance
> Program: critical considerations. Annu Rev Public Health.
> 2000;21:569-585.
>
> 8. Leape L.Unecessarsary surgery. Annu Rev Public Health.
> 1992;13:363-383.
>
> 9. Phillips D, Christenfeld N, Glynn L. Increase in US
> medication-error deaths between 1983 and 1993. Lancet. 1998;
> 351:643-644.
>
> 10. Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug
> reactions in hospitalized patients. JAMA. 1998; 279:1200-1205.
>
> 11. Weingart SN, Wilson RM, Gibberd RW, Harrison B.
> Epidemiology and medical error. BMJ. 2000; 320:774-777.
>
> 12. Wilkinson R. Unhealthy Societies: The Afflictions of
> Inequality. London, England: Routledge; 1996.
>
> 13. Evans R, Roos N. What is right about the Canadian health
> system? Milbank Q. 1999; 77:393-399.
>
> 14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M,
> Strobino D. Annual summary of vital statistics1998. Pediatrics.
> 1999; 104:1229-1246.
>
> 15. Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of
> care, and outcomes of care for generalists and specialists. J Gen
> Intern Med. 1999; 14:499-511.
>
> 16. Donahoe MT. Comparing generalist and specialty care:
> discrepancies, deficiencies, and excesses. Arch Intern Med. 1998;
> 158:1596-1607.
>
> 17. Anderson G, Poullier J-P. Health Spending, Access, and
> Outcomes: Trends in Industrialized Countries. New York, NY: The
> Commonwealth Fund; 1999.
>
> 18. Mold J, Stein H. The cascade effect in the clinical care of
> patients. N Engl J Med. 1986; 314:512-514.
>
> 19. Shi L, Starfield B. Income inequality, primary care, and
> health indicators. J Fam Pract. 1999; 48:275-284.
>
> Copyright 1997-2000 by Joseph M. Mercola, DO. All Rights
> Reserved. This content may be copied in full, with copyright;
> contact; creation; and information intact, without specific
> permission, when used only in a not-for-profit format.
>
>
--WebTV-Mail-32485-404--
--------------34BDD3F929358F6F516E5367
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Content-Transfer-Encoding: 7bit
........From EMF-L.......
This is a very challenging item..... The more so because of its
publication source.........guru.......
-------- Original Message --------
Subject: Fwd: Doctors Killing Patients
Date: Fri, 8 Dec 2000 20:43:51 -0600 (CST)
From: timely@webtv.net (Dave Ashton)
To: guru@emfguru.com
--WebTV-Mail-32485-404
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Message-ID: <000301c0616f$f43741a0$0bcc61d8@net>
From: "Elania Emerson"
To:
Subject: Doctors Killing Patients
Date: Thu, 7 Dec 2000 17:25:56 -0500
MIME-Version: 1.0
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> ALL THESE ARE DEATHS PER YEAR:
>
> 12,000 -----unnecessary surgery 8
> 7,000 -----medication errors in hospitals9
> 20,000 -----other errors in hospitals 10
> 80,000 -----infections in hospitals 10
> 106,000 -----non-error, negative effects of drugs 2
>
> These total to 250,000 deaths per year from iatrogenic causes!!
>
> Journal of the American Medical Association
> Vol 284 July 26, 2000
>
> Doctors Are The Third Leading Cause of Death
> in the US Causing 250,000 Deaths Every Year
>
> by Joseph Mercola, D.O.
>
> This week's issue of the Journal of the American Medical
> Association (JAMA) is the best article I have ever seen written
> in the published literature documenting the tragedy of the
> traditional medical paradigm.
>
> This information is a follow-up of the Institute of Medicine
> report which hit the papers in December of last year, but the
> data was hard to reference as it was not in peer-reviewed
> journal. Now it is published in JAMA which is the most widely
> circulated medical periodical in the world.
>
> The author is Dr. Barbara Starfield of the Johns Hopkins School
> of Hygiene and Public Health and she desribes how the US health
> care system may contribute to poor health.
>
> What does the word iatrogenic mean? This term is defined as
> induced in a patient by a physician's activity, manner, or
> therapy. Used especially of a complication of treatment.
>
> Dr. Starfield offers several warnings in interpreting these
> numbers:
>
> First, most of the data are derived from studies in hospitalized
> patients. Second, these estimates are for deaths only and do not
> include negative effects that are associated with disability or
> discomfort. Third, the estimates of death due to error are lower
> than those in the IOM report.1
>
> If the higher estimates are used, the deaths due to iatrogenic
> causes would range from 230,000 to 284,000. In any case, 225,000
> deaths per year constitutes the third leading cause of death in
> the United States, after deaths from heart disease and cancer.
> Even if these figures are overestimated, there is a wide margin
> between these numbers of deaths and the next leading cause of
> death (cerebrovascular disease).
>
> Another analysis 11 concluded that between 4% and 18% of
> consecutive patients experience negative effects in outpatient
> settings,with:
>
> 116 million extra physician visits
> 77 million extra prescriptions
> 17 million emergency department visits
> 8 million hospitalizations
> 3 million long-term admissions
> 199,000 additional deaths
> $77 billion in extra costs.
>
> The high cost of the health care system is considered to be a
> deficit, but seems to be tolerated under the assumption that better
> health results from more expensive care. However, evidence from
> a few studies indicates that as many as 20% to 30% of patients
> receive inappropriate care.
>
> An estimated 44,000 to 98,000 among them die each year as a
> result of medical errors.2
>
> This might be tolerated if it resulted in better health, but does it?
> Of 13 countries in a recent comparison,3,4 the United States ranks
> an average of 12th (second from the bottom) for 16 available health
> indicators. More specifically, the ranking of the US on several
> indicators was:
>
> 13th (last) for low-birth-weight percentages
> 13th for neonatal mortality and infant mortality overall 14
> 11th for postneonatal mortality
> 13th for years of potential life lost (excluding external causes)
> 11th for life expectancy at 1 year for females, 12th for males
> 10th for life expectancy at 15 years for females, 12th for males
> 10th for life expectancy at 40 years for females, 9th for males
> 7th for life expectancy at 65 years for females, 7th for males
> 3rd for life expectancy at 80 years for females, 3rd for males
> 10th for age-adjusted mortality
>
> The poor performance of the US was recently confirmed by a World
> Health Organization study, which used different data and ranked
> the United States as 15th among 25 industrialized countries.
>
> There is a perception that the American public "behaves badly" by
> smoking, drinking, and perpetrating violence." However the data
> does not support this assertion.
>
> The proportion of females who smoke ranges from 14% in Japan to
> 41% in Denmark; in the United States, it is 24% (fifth best). For
> males, the range is from 26% in Sweden to 61% in Japan; it is
> 28% in the United States (third best). The US ranks fifth best for
> alcoholic beverage consumption.
>
> The US has relatively low consumption of animal fats (fifth
> lowest in men aged 55-64 years in 20 industrialized countries)
> and the third lowest mean cholesterol concentrations among men
> aged 50 to 70 years among 13 industrialized countries.
>
> These estimates of death due to error are lower than those in a
> recent Institutes of Medicine report, and if the higher estimates are
> used, the deaths due to iatrogenic causes would range from
> 230,000 to 284,000.
>
> Even at the lower estimate of 225,000 deaths per year, this
> constitutes the third leading cause of death in the US, following
> heart disease and cancer.
>
> Lack of technology is certainly not a contributing factor to the
> US's low ranking.
>
> Among 29 countries, the United States is second only to Japan in
> the availability of magnetic resonance imaging units and computed
> tomography scanners per million population. 17 Japan, however,
> ranks highest on health, whereas the US ranks among the lowest.
> It is possible that the high use of technology in Japan is limited to
> diagnostic technology not matched by high rates of treatment,
> whereas in the US, high use of diagnostic technology may be
> linked to more treatment. Supporting this possibility are data
> showing that the number of employees per bed (full-time
> equivalents) in the United States is highest among the countries
> ranked, whereas they are very low in Japan, far lower than can be
> accounted for by the common practice of having family members
> rather than hospital staff provide the amenities of hospital care.
>
> Journal American Medical Association Vol 284 July 26, 2000
>
> COMMENT: Folks, this is what they call a "Landmark Article". Only
> several ones like this are published every year. One of the major
> reasons it is so huge as that it is published in JAMA which is the
> largest and one of the most respected medical journals in the entire
> world. I did find it most curious that the best wire service in the
> world, Reuter's, did not pick up this article. I have no idea why they
> let it slip by.
>
> I would encourage you to bookmark this article and review it
> several times so you can use the statistics to counter the
> arguments of your friends and relatives who are so enthralled
> with the traditional medical paradigm. These statistics prove
> very clearly that the system is just not working. It is broken
> and is in desperate need of repair.
>
> I was previously fond of saying that drugs are the fourth leading
> cause of death in this country. However, this article makes it quite
> clear that the more powerful number is that doctors are the third
> leading cause of death in this country killing nearly a quarter
> million people a year. The only more common causes are cancer
> and heart disease. This statistic is likely to be seriously
> underestimated as much of the coding only describes the cause of
> organ failure and does not address iatrogenic causes at all.
>
> Japan seems to have benefited from recognizing that technology is
> wonderful, but just because you diagnose something with it, one
> should not be committed to undergoing treatment in the traditional
> paradigm. Their health statistics reflect this aspect of their
> philosophy as much of their treatment is not treatment at all, but
> loving care rendered in the home.
>
> Care, not treatment, is the answer. Drugs, surgery and hospitals
> are rarely the answer to chronic health problems. Facilitating
> the God-given healing capacity that all of us have is the key.
> Improving the diet, exercise, and lifestyle are basic. Effective
> interventions for the underlying emotional and spiritual wounding
> behind most chronic illness are also important clues to maximizing
> health and reducing disease.
>
> Related Articles:
>
> Medical Mistakes Kill 100,000 per year
>
> US Health Care System Most Expensive in the World
>
> Author/Article Information
>
> Author Affiliation: Department of Health Policy and Management,
> Johns Hopkins School of Hygiene and Public Health, Baltimore,
> Md. Corresponding Author and Reprints: Barbara Starfield, MD,
> MPH, Department of Health Policy and Management, Johns
> Hopkins School of Hygiene and Public Health, 624 N Broadway,
> Room 452, Baltimore, MD 21205-1996 (e-mail: bstarfie@jhsph.edu).
>
> REFERENCES
>
> 1. Schuster M, McGlynn E, Brook R. How good is the quality of
> health care in the United States? Milbank Q. 1998; 76:517-563.
>
> 2. Kohn L, ed, Corrigan J, ed, Donaldson M, ed. To Err Is Human:
> Building a Safer Health System. Washington, DC: National
> Academy Press; 1999.
>
> 3. Starfield B. Primary Care: Balancing Health Needs, Services,
> and Technology. New York, NY: Oxford University Press; 1998.
>
> 4. World Health Report 2000. Available at:
> http://www.who.int/whr/2000/en/report.htm. Accessed June 28,
> 2000.
>
> 5. Kunst A. Cross-national Comparisons of Socioeconomic
> Differences in Mortality. Rotterdam, the Netherlands: Erasmus
> University; 1997.
>
> 6. Law M, Wald N. Why heart disease mortality is low in France:
> the time lag explanation. BMJ. 1999; 313:1471-1480.
>
> 7. Starfield B. Evaluating the State Children's Health Insurance
> Program: critical considerations. Annu Rev Public Health.
> 2000;21:569-585.
>
> 8. Leape L.Unecessarsary surgery. Annu Rev Public Health.
> 1992;13:363-383.
>
> 9. Phillips D, Christenfeld N, Glynn L. Increase in US
> medication-error deaths between 1983 and 1993. Lancet. 1998;
> 351:643-644.
>
> 10. Lazarou J, Pomeranz B, Corey P. Incidence of adverse drug
> reactions in hospitalized patients. JAMA. 1998; 279:1200-1205.
>
> 11. Weingart SN, Wilson RM, Gibberd RW, Harrison B.
> Epidemiology and medical error. BMJ. 2000; 320:774-777.
>
> 12. Wilkinson R. Unhealthy Societies: The Afflictions of
> Inequality. London, England: Routledge; 1996.
>
> 13. Evans R, Roos N. What is right about the Canadian health
> system? Milbank Q. 1999; 77:393-399.
>
> 14. Guyer B, Hoyert D, Martin J, Ventura S, MacDorman M,
> Strobino D. Annual summary of vital statistics1998. Pediatrics.
> 1999; 104:1229-1246.
>
> 15. Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of
> care, and outcomes of care for generalists and specialists. J Gen
> Intern Med. 1999; 14:499-511.
>
> 16. Donahoe MT. Comparing generalist and specialty care:
> discrepancies, deficiencies, and excesses. Arch Intern Med. 1998;
> 158:1596-1607.
>
> 17. Anderson G, Poullier J-P. Health Spending, Access, and
> Outcomes: Trends in Industrialized Countries. New York, NY: The
> Commonwealth Fund; 1999.
>
> 18. Mold J, Stein H. The cascade effect in the clinical care of
> patients. N Engl J Med. 1986; 314:512-514.
>
> 19. Shi L, Starfield B. Income inequality, primary care, and
> health indicators. J Fam Pract. 1999; 48:275-284.
>
> Copyright 1997-2000 by Joseph M. Mercola, DO. All Rights
> Reserved. This content may be copied in full, with copyright;
> contact; creation; and information intact, without specific
> permission, when used only in a not-for-profit format.
>
>
--WebTV-Mail-32485-404--
--------------34BDD3F929358F6F516E5367--
Archive provided courtesy of WaveGuide, http://www.wave-guide.org
Reprinted with permission of Roy Beavers, http://www.emfguru.com