Book Review: Why the Medical Establishment Often Gets It Wrong (Lola Butcher, 11.01.2024, UnDark)
“Much of what the public is told about health is medical dogma — an idea or practice given incontrovertible authority because someone decreed it to be true based on a gut feeling,” Makary writes.
Makary’s assertions are supported by hundreds of footnotes as he builds each indictment, but that doesn’t mean all physicians and researchers are nodding in agreement. One example: When a research team analyzed 13 studies comparing antibiotics to appendectomy, it found almost a third of the patients initially treated with antibiotics had an appendectomy within the year. Although the other two-thirds did not, the researchers called the evidence that antibiotics are better “very uncertain.” So surgeons who choose to operate immediately are not necessarily doing something wrong.
Makary, one of medicine’s most prolific iconoclasts, has been poking at America’s health care system since at least 1998 when, as a medical student, his article calling on hospitals, medical schools, and health insurance companies to divest their tobacco stocks was published in the prestigious Journal of the American Medical Association.
A few years later, ignoring criticism from his colleagues, Makary created a checklist to improve surgery safety; after proving that safe surgery checklists reduced surgical errors and deaths, they are now used in most operating rooms around the world. His 2012 book, “Unaccountable,” demanded that hospitals reveal their infection rates and medical errors. A few years later, Medicare began requiring public reporting of those and other indicators of health care quality. His 2019 book, “The Price We Pay,” documented hospitals’ price-gouging practices and called for all hospitals to post cash prices for certain services — which is now required by law. […]
He does not call the medical establishment nefarious; rather, he accuses it of frequently embracing a narrative — that stress causes ulcers, for instance — without evidence, ignoring scientific findings that do not support the idea, and blackballing those who question their position.