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Overdiagnosed: Making People Sick in Pursuit of Health Audiobook, by H. Gilbert Welch Extended Sample Click for printable size audiobook cover
Author: H. Gilbert Welch, Lisa M. Schwartz, Steven Woloshin Narrator: Sean Runnette Publisher: Highbridge Audio Format: Unabridged Audiobook Delivery: Instant Download Audio Length: Release Date: September 2012 ISBN: 9781611749649
4 out of 54 out of 54 out of 54 out of 54 out of 5 4.00 (167 ratings) (rate this audio book)
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Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening.
 
 Drawing on twenty-five years of medical practice and research, Dr. H. Gilbert Welch and his colleagues, Dr. Lisa M. Schwartz and Dr. Steven Woloshin, have studied the effects of screenings and presumed preventative measures for disease and “pre-disease.” Examining the social, medical, and economic ramifications of a health care system that unnecessarily diagnoses and treats patients, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, debilitating anxiety, and exorbitant costs. Download and start listening now!

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Listener Reviews

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  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Angie | 2/16/2014

    " It's about time someone wrote a book intended for an educated lay audience on this topic! The gist is that there is little to no scientific evidence that testing health people for every disease in the book actually makes for longer or healthier lives. The authors encourage people to decide for themselves how much testing is right for them and to think critically about the available evidence for screening. The writing is backed up by research and statistics by the wheel-barrow load. But kept from being dull and dry by personal stories sprinkled in the illustrate the science. "

  • 3 out of 53 out of 53 out of 53 out of 53 out of 5 Patricia | 2/12/2014

    " Don't necessarily agree with everything but found it informative and well written. Think it would help to have some medical knowledge to understand it well "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Carla | 2/6/2014

    " Very cogent overview of relative risks and statistics in several conditions, including cancer. Left me with the distinction that the "worried well" fret too much about too little. Wish staistics like this were more accessible and more often seen. Also raises some thorny issues as a culture and a society we need to face as health care becomes more accessible. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Joseph | 1/29/2014

    " Fantastic premise, well researched and presented. This should be read by all health care professionals and anyone else who has ever wondered, "Do I really need this medical test?" Overdiagnosis is one the biggest problems in our current health care system, and contributes to the insane rise in costs of medical care. After you read this book, you will look at health statistics in a whole new light. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Adrienne | 1/27/2014

    " An interesting perspective on all the preventive screening we're encouraged to have. Medicine has advanced to the point that we can detect cancers and potential conditions way before we experience any symptoms. Welch believes that this is not necessarily a positive. According to studies he believes that earlier treatment leads to more stress and side effects and may not necessarily lead to better health. False positives lead to undue stress and early detection leads to spotting conditions that may never prove serious. "

  • 3 out of 53 out of 53 out of 53 out of 53 out of 5 Janet | 1/20/2014

    " Interesting. Does seem a little biased in favor of the author's opinion, but definitely worth thinking about. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Kim | 1/15/2014

    " I found this book very interesting and a worthy critique of some serious issues in current medical trends. For instance, changes in diagnostic criteria for certain diseases suddenly increase the numbers of people deemed "sick", while the benefits of making these changes is not as clear as one expects them to be. The author also takes an honest if brief look at the financial conflicts of interest that can be found in these situations. The relative merits of early screening is one which many of us may never have considered; this book will make that a thing of the past. A theme that can be found from beginning to end is the discussion of damage done to individuals in the form of worry about outcomes that not only may never happen but are actually quite unlikely. Many valid points were presented here, in terms easily understood by the layman. I'd like to see more books like this on the shelves. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Jim | 1/3/2014

    " The want to know versus the need to know. Nicely balances the concerns about over testing with the benefits of early detection. Always a two edged sword "

  • 3 out of 53 out of 53 out of 53 out of 53 out of 5 Jennifer | 12/31/2013

    " I highly recommend this book for anyone over the age of 40 or who's interested in health. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Jim | 12/21/2013

    " welch's crystal-clear writing perfectly expresses his crystal-clear thinking. in disease after disease, he systematically lays out the evidence for how the "more is better" mantra of medical diagnosis can lead to more harm than good. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Dana | 12/4/2013

    " Good so far. Seems like you are better off waiting for signs of illness because preventative measures do more harm than good. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Alan | 11/27/2013

    " A must-read for everybody who has ever gone to an urgent care center with a cough and been released hours later after beaucoups blood tests and an EKG. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Pjs_books | 11/22/2013

    " Excellent. This book is a rational and supported explanation of some of the numbers involved in health care research, and what they mean and don't mean with respect to earlier diagnoses and screening programs. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Jeannine | 10/6/2013

    " I read this book straight thru because it made me feel so good about my decision not to take screening tests. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Laura | 9/15/2013

    " A must read if you have ever questioned the current health care system. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Lori | 7/29/2013

    " I am buying this. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Joie | 4/10/2013

    " This is a really fascinating look at the American medical system. I have to say it has really changed the way I think about things- for the better! I recommend it to everyone! "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Susan | 3/7/2013

    " Worth reading. It illustrated clearly how when you are sick, you really need to evaluate clearly your options, and also clearly gave you some of the downside of testing. More is not always better. An important read for managing your health. "

  • 3 out of 53 out of 53 out of 53 out of 53 out of 5 Jen | 11/15/2012

    " This book presents some interesting ideas, and it certainly made me feel like a Monday-morning quarterback about some of my recent health decisions. Some of the writing feels a bit redundant, but dividing the chapters by conditions helps to keep things moving. A solid 3 1/2 stars. "

  • 4 out of 54 out of 54 out of 54 out of 54 out of 5 Phyllis | 11/6/2012

    " Important exploration of the lowered threshold for diagnosis of disease with consequent unneeded treatment for a large percentage of those screened. could have been more succinct. "

  • 5 out of 55 out of 55 out of 55 out of 55 out of 5 Daisie | 10/18/2012

    " A good explanation of how statistics and wishful thinking can combine with good intentions to cause overdiagnosis of all sorts of ailments. A must-read for anyone interested in fixing US health care! "

  • 3 out of 53 out of 53 out of 53 out of 53 out of 5 Susan | 10/8/2012

    " If you like reading lots of sentences that end dramatically with the words "overdianosed" and "overdiagnosis," then this book is for you. "

About the Narrator

John C. Maxwell, known as America’s expert on leadership, speaks to hundreds of thousands of people each year. He has communicated his leadership principles to Fortune 500 companies, the United States Military Academy at West Point, and sports organizations such as the NCAA, the NBA, and the NFL. A New York Times bestselling author, he has written more than thirty books, including Winning with People and Today Matters. Two of his books, Developing the Leader within You and The 21 Irrefutable Laws of Leadership, have sold more than one million copies apiece.