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To: GraceZ who wrote (26340)	2/11/2005 11:30:14 PM
From: NOW	Read Replies (2) \| Respond to of 110194

Grace: I am a specialist in preventive medicine. It is my daily business to work with these ideas. I do not want to diminish the role that non-pharmacological methods can and should have in treating and preventing illness. That said, it is also important to approach this matter from a perspective of scientific evidence. The evidence is as I have said, sadly lacking or quite weak for many of these interventions. hte fact that we overprescribe medications and over refer pateints to surgery speaks volumes about the incentives that are perversely at work. Very few doctors get paid to keep people healthy.

To: GraceZ who wrote (26340)	2/13/2005 6:47:26 PM
From: patron_anejo_por_favor	Respond to of 110194

The AMA is basically a PAC, they are not primarily a professional specialty society nor primarily a professional educational body. They mainly represent the interests of their membership (which is mainly specialty physicians in private practice, an increasingly insignificant body of physicians). Your contention was that allopathic physicians ignore the role of nutrition in disease processes. If you'd bother to look, for example, at the professional organization responsible for diabetic education, you'd see tons of material on nutrition: diabetes.org care.diabetesjournals.org <<I'd say 99% of the patients who complain of mild asthma will come out of their doctors office with an inhaler even though there is ample evidence that the drugs used treat asthma bring on more frequent and severe attacks when used over a period of time.>> Care to cite a source? Perhaps you'd like to comment on the role of undertreatment of asthma as a major contributing cause to asthma mortality while you're at it...... You have a rather disturbing predisposition to generalize your own experience with minor medical problems to represent huge flaws in the US medical system. At the same time, you blithely ignore the roles of patient noncompliance (e.g., when you tell someone exercise will prevent osteoporosis, how many do you think will act on that advice? It helps, but only when patients decide that it's what they want to do....). <<You go in complaining of any of these conditions you are coming out with a prescription>> You support the "free market" and private enterprise in medicine, right? If patient X comes to a physician with, say, symptoms of GERD, why do you think he or she is there? In most cases they're tried OTC meds already....by the time they're in the doctor's office that's failed. The doctor should counsel them on nondrug alternatives, but in the short run the overwhelming majority WANT relief. If they don't get it (in the form of a prescription), they'll simply move on to someone who "meets their needs". This is not a good thing, but it's part of the "free enterprise" solution for health care, unfortunately.