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Tuesday, April 26, 2005

Sick in the Head

I’ve got nothing clever to add to this little snippet, but I thought that it was funny, worth sharing, and, when you stop to think about it, probably pretty obvious.

All this brings to mind a fascinating article published in last week’s British Medical Journal by Iona Heath, a London physician who focuses attention on a troubling paradox. Heath draws on work done by the economist Amartya Sen to illustrate the following point: “It seems that the more people are exposed to doctors and contemporary health care,” Heath writes, “the sicker they feel.”

Heath points out that the enormous emphasis on preventive health care in rich countries such as Britain and the United States has some significant disadvantages. An ounce of prevention may be worth a pound of cure, but what are the costs of making an obsession with avoiding ill health, or more precisely risk factors for ill health, a central focus of one’s life?

Heath uses Sen’s comparative economic work to illustrate that people in the United States are far healthier by every objective measure than people in a particularly poor Indian state, yet have vastly higher rates of self-reported illness.

I would just point out that there might be a second, and very interesting question to ask: as people are exposed to mental health care and have more exposure to mental health care professionals, does self-diagnoses of mental illness rise with no corresponding rise in actual illness?

Anyway, another good article by often infuriating Paul Campos.

Read the story.

Update: Kindly linked by Deb, who probably expected the whole trackback thing to work. Heh. Fooled her.

Update the Second: Also linked by De Doc, who is not only a friend, but an actual doctor. I kind of wonder what his view on this subject is…

Comments & Trackbacks
The trackback URL for this entry is:
Deb

Thanks for the link!

I have no idea why I couldn’t ping you even though you could ping me.  This is one of those enduring EE questions...why *do* my trackbacks sometimes work? 

The world may never know.

on Apr 26 2005 @ 07:23 PM

’Tis true—as far as I can tell AV is the only EE blog using that secret random code thingie, that actually accepts trackbacks.

on Apr 27 2005 @ 08:43 AM

Well—my trackbacks…

on Apr 27 2005 @ 08:44 AM

And it irritates me no end.

The idea of the random code is great--I just wish it worked.

on Apr 27 2005 @ 08:49 AM

I’m hoping the next version of EE has a better system. I don’t get spam TBs very often, and when I do I usually manage to get rid of them and stop the attack fairly easily—but preventing them entirely would suit me just fine.

on Apr 27 2005 @ 10:07 AM

Sorry to be so long in noticing; trackback didn’t reach me. (I noticed this when I checked technorati from my WP dashboard.)

I think that Campos may very well have a point.  Certainly, in my emergency practice, I am continually amazed at the number of times people present to have things “checked out” that, as I was growing up, wouldn’t even have caused people to come off the 3rd grade playground.

Living well is certainly worthwhile… and that includes physical as well as mental and moral well-being.  But becoming neurotic in order to attempt to preserve one’s physical health is doomed to fail; you’ll not only be neurotic, you’ll develop psychosomatic problems.  (There’s also the little problem of knowing what IS healthy, as the brouhaha over obesity risks demonstrates—that’s another grumble, tho’.)

on Apr 30 2005 @ 03:26 AM

In my view we spend less on health care than comparable countries. All Brown is doing is bringing the UK spend up to the EU average.

on Feb 11 2006 @ 02:14 AM
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