6 Comments

John. Be careful. With out a measurable. definition. of "sensible medicine", you are going down a path that sounds and feels like a very slippery one. Years ago I was asked. to organize and run our "quality assurance" program. The problem was and still is defining "quality". Not being satisfied with the "quality assurance" results, the notion of pursuing "high value". care. was given birth.. High value care is simply quality divided by cost. So quality is now replaced with value. But since neither value or cost can be measured, this term. is even worse than the former. I guess just associating oneself with all these ideas, places one on the side of the angels. A new religion is born.

Expand full comment

So glad I came across this Dr Mandrola. Was a fan of your newsletters years before I ended up with a Pacemaker. Your journalistic style is so on point, no matter how much content you need to pack in. Got your book, signed onto this because no one else puts these issues out there as starkly, skillfully. Listening to your podcast right now! Thanks for humanely including the quality of life issues too. It matters and there is mostly a massive vacuum in medical info access in terms of toll on patient's lives.

Expand full comment

John, your views are enlightening and very welcome.

Expand full comment

Hi John

Congrats

I like your Martian approach to EBM and Questioning the status quo, questioning sclerotic thinking and the therapeutic fashions of the day. KEEP GOING

Expand full comment
author

Thanks Miguel.

Expand full comment

Very excited about this. Not being a medical professional, I feel a little guilty listening to TWIC, but I do it anyway. 😁 Thanks for doing what you do.

Expand full comment