John Mandrola

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Overdiagnosis Via Data and Greed: One Doctor’s View of a Malevolent Downside in Medical Technology

John Mandrola, MD | MedCity News | January 18, 2016

I’ve never been more concerned about the harms of healthcare. Any exposure to the health care system can get you in trouble. It’s especially scary when healthy people enter the system – often in the name of prevention. Remember that the most likely outcome of a medical intervention in a person without complaints is harm. How can we make a person who says he is well any better?...

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When Evidence Says No, but Doctors Say Yes

David Epstein and Propublica | The Atlantic | February 22, 2017

Fiirst, listen to the story with the happy ending: At 61, the executive was in excellent health. His blood pressure was a bit high, but everything else looked good, and he exercised regularly. Then he had a scare. He went for a brisk post-lunch walk on a cool winter day, and his chest began to hurt. Back inside his office, he sat down, and the pain disappeared as quickly as it had come...

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