Unhealthy Politics : The Battle Over Evidence-Based Medicine

**How partisanship, polarization, and medical authority stand in the way of evidence-based medicine** The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures—and too few treatments that really work. __Unhealthy Politics__ sheds new light on why the government’s response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against “doctor’s orders.” The book shows how the government’s efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us. __Unhealthy Politics__ offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy. The U.s. Medical System Is Touted As The Most Advanced In The World, Yet Many Common Treatments Are Not Based On Sound Science. Treatments Can Go Into Widespread Use Before They Are Rigorously Evaluated, And Every Year Patients Are Harmed Because They Receive Too Many Procedures--and Too Few Treatments That Really Work. Unhealthy Politics Sheds New Light On Why The Government's Response To This Troubling Situation Has Been So Inadequate, And Why Efforts To Improve The Evidence Base Of U.s. Medicine Continue To Cause So Much Political Controversy And Public Trepidation. This Critically Important Book Draws On Public Opinion Surveys, Physician Surveys, Case Studies, And Political Science Models To Explain How Political Incentives, Polarization, And The Misuse Of Professional Authority Have Undermined Efforts To Tackle The Medical Evidence Problem And Curb Wasteful Spending. It Paints A Portrait Of A Medical Industry With Vast Influence Over Which Procedures And Treatments Get Adopted, And A Public Burdened By The Rising Costs Of Health Care Yet Fearful Of Going Against Doctor's Orders. The Book Shows How The Government's Efforts To Promote Evidence-based Medicine Have Become Mired In Partisan Debates. It Also Proposes Sensible Solutions That Can Lead To Better, More Efficient Health Care For All Of Us. Introduction -- The Medical Guesswork Problem -- Sham Surgery: A Case Study Of The Use Of Medical Evidence -- Doctor Knows Best: The Influence Of Physician Leadership On Public Opinion -- The Limits Of Professional Self-regulation: Findings From A National Physician Survey -- Zero-credit Politics: The Government's Sluggish Effort To Promote Evidence-based Medicine, 1970s-2008 -- Electoral Competition, Polarization, And The Breakdown Of Elite-led Social Learning -- Conclusion: Postenactment Coalition Building (and Other Strategies For Sustaining Reform In A Polarized Age). Eric M. Patashnik, Alan S. Gerber, Conor M. Dowling. Includes Bibliographical References (pages 225-253) And Index.

How partisanship, polarization, and medical authority stand in the way of evidence-based medicine

The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures—and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation.

This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us.

Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy.

"How partisanship, polarization, and medical authority stand in the way of evidence-based medicine. The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures-and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us. Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy"-- Provided by publisher The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures ... and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending. It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us .. How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy. This critically important book paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against "doctor's orders." Now with a new preface by the authors, Unhealthy Politics offers vital insights into the limits of science, expertise, and professionalism in American politics. CONTENTS List of Figures and Tables Acknowledgments Introduction 1. The Medical Guesswork Problem 2. Sham Surgery: A Case Study of the Use of Medical Evidence 3. Doctor Knows Best: The Influence of Physician Leadership on Public Opinion 4. The Limits of Professional Self-Regulation: Findings from a National Physician Survey 5. Zero-Credit Politics: The Government’s Sluggish Effort to Promote Evidence-Based Medicine, 1970s–2008 6. Electoral Competition, Polarization, and the Breakdown of Elite-Led Social Learning Conclusion: Postenactment Coalition Building (and Other Strategies for Sustaining Reform in a Polarized Age) Appendixes Notes Bibliography Index