JAMA article: Doctors are 3rd leading cause of death in U.S.

Discussion in 'Fibromyalgia Main Forum' started by mbofov, Dec 6, 2005.

  1. mbofov

    mbofov Active Member

    Here is an article posted on Dr. Mercola's website, which was published in the Journal of the American Medical Association. It just reinforces more than ever the fact that we really need to be our own doctors, and research everything our doctors want us to do, whether it's take pills or have surgery, whatever. Doctors can be dangerous to your health. I know this is not news to many of you, but it is a very informative article anyways. There are good doctors, but even with them you still need to inform yourself and educate yourself as much as possible about all aspects of your health care.


    Doctors Are The Third Leading Cause of Death in the US, Causing 250,000 Deaths Every Year

    This article in the Journal of the American Medical Association (JAMA) is the best article I (Dr. Mercola) have ever seen written in the published literature documenting the tragedy of the traditional medical paradigm.

    If you want to keep updated on issues like this click here to sign up for my free newsletter.

    This information is a followup 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 describes how the US health care system may contribute to poor health.


    12,000 -- unnecessary surgery
    7,000 -- medication errors in hospitals
    20,000 -- other errors in hospitals
    80,000 -- infections in hospitals
    106,000 -- non-error, negative effects of drugs

    These total to 250,000 deaths per year from iatrogenic causes!!

    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.

    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 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.

    This might be tolerated if it resulted in better health, but does it? Of 13 countries in a recent comparison, 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
    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 July 26, 2000;284(4):483-5


    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.

  2. mbofov

    mbofov Active Member

    Kudos to JAMA for publishing the article, and thank God for the Internet, which allows us to educate ourselves in ways undreamed of only 10 years ago or so.

  3. Shannonsparkles

    Shannonsparkles New Member

  4. mbofov

    mbofov Active Member

    I am so sorry to hear about your mother. I cannot imagine losing your mother when you and she were both so young. I don't know what happened, you didn't say, but it sounds like it was due to medical error. In any event, I am really sorry, it sounds like it never should have happened.


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