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The Patient Paradox: Why sexed-up medicine is bad for your health

List price:
£9.99
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£7.99 (You save £2.00)
ISBN:
978-1-78066-000-4
Format:
paperback
Edition:
1st
Published:
February 2012
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About the book

Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done.

In the world of sexed-up medicine pharmaceutical companies gloss over research they don’t like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake. Our obsession with screening swallows up the time of NHS staff and the money of healthy people who pay thousands to private companies for tests they don’t need. Meanwhile, the truly sick are left to wrestle with disjointed services and confusing options.

Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox – too much testing of well people and not enough care for the sick – worsens health inequalities and drains professionalism, harming both those who need treatment and those who don't.


Press reviews

The arguments are measured and well-referenced; the conclusions are distressing... Read this book. But don't expect to be able to practice medicine in the same way again. British Journal of General Practice

Everyone who is interested in the UK National Health Service (NHS) should read this magnificent book. HealthWatch newsletter

McCartney is diligent enough to dig deep into the evidence, brave enough to name names where necessary and lucid enough to capture a concept in a memorable sentence, such as, 'When you replace the doctor-patient relationship with a doctor-customer relationship, there is almost no point having a doctor in the equation'. Pulse

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Customer reviews

  1. The Patient Paradox

    Posted by Dr Ulrich Pfeiffer on 10th May 2012

    A brilliant book that questions the usefulness of a very large part of my GP workload in a well founded and referenced manner. How much money does the NHS spend on useles programmes just because they are popular with the voting public that could be much better spent on treating ill people. This book should be compulsory reading for every budding GP as well as being refreshing reading for old cynics like me. I wonder if I can make it count towards continous professional education?


  2. Read this if you care about your health

    Posted by Suzanne on 7th May 2012

    There is a very strong history of breast cancer in my family. Nevertheless, when I'm offered regular screening mammograms in a couple of years time, I will probably refuse them. It's also unlikely that I will go for any more smear tests, despite the recent 'Jade Goody effect'. Controversial? Margaret McCartney's book separates the facts from the headlines, explains the encroaching position of government and pharmaceutical companies on our welfare, and explains how thousands of healthy people are being turned into patients. She looks at the influence of charity and celebrity, and emphasises the increasingly difficult position that our GPs are placed in today. This is a fascinating, well-researched and easy to read book that should make you question how the NHS works, how it ought to work, and how you want it to work for you.


  3. Patient Paradox: Why sexed-up medicine is bad for your health

    Posted by Helen on 6th Apr 2012

    This is an excellent book. Using clear language, straightforward diagrams and plenty of examples, McCartney (who is also a practising GP) takes the mystery out of medical screening, reviews and statistics. Her analysis reveals some surprising and negative results, including overdiagnosis, further testing and anxiety, and increased costs. The arguments are persuasive and challenging, but ultimately positive: "Addressing inequalities is where the biggest gains in health are to me made, not our current model of taking well people and screening them into diagnoses they don't need and won't benefit from" Accessible and easy to read, with a narrative grounded in personal experience backed up with well referenced, evidence based research, this fascinating book would appeal to anyone with an interest in healthcare, be it professional or personal.


  4. The Patient Paradox

    Posted by Toni Tweddle on 6th Apr 2012

    This well researched, evidence based book challenges readers to take a second look at the the way health and medicine is viewed in the modern world. Taking on subjects from screening to "health MOTs" to charity campaigning this book pulls out the bare facts and statistics and argues that maybe doctors should just go back to their jobs of helping sick people to get better. I have found this a very interesting read, and I have to admit that it is quite alarming to see how misrepresented the facts can be in the mainstream media. A fascinating book which will change the way many people veiw their health.



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