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Save the US Preventive Services Task Force and Evidence-Based Medicine

11/23/2016

6 Comments

 
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Those who care about health care based on evidence and not merely on economic incentives, and primary care that considers the balance of the science in service of the whole person, should be very concerned about a bill before the House Energy and Commerce Committee.

A hearing on November 30 can decide if evidence-based health care is going to be yanked in the direction of economic incentives and special interests. I think this is the leading edge of anti-science and anti-medicine legislation.

Called the USPSTF Transparency and Accountability Act, the bill significantly weakens the US Preventive Services Task Force, a respected source for unbiased summaries of the evidence--and used by physicians every day-- in three significant ways:

1. It replaces generalist members of the Task Force with specialists, who are less likely to take a broad view and balance risks and benefits in the whole population.
2. It establishes a review board to counterweight, and possibly counteract, the Task Force's recommendations, making evidence-based healthcare yet another political football.
3. It mandates reconsideration of any given past Task Force recommendations if requested by any specialist or other organization.

This is a serious step backwards for evidence-based, patient-centered, resource-sensitive health care in the US. Please reach out to your representative if they sit on the committee and ask them to vote against the bill.


6 Comments
Anne Olcott
11/24/2016 05:33:10 pm

Please maintain the preventive services task force to provide balanced informed medical advice for practitioners and patients.

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Maria Portela
11/27/2016 12:54:52 pm

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Carl Raghunath
11/29/2016 07:35:01 am

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Kathryn GLASSBERG
11/29/2016 07:49:59 am

As a primary care doctor who relies on evidence based guidelines to help my patients, I strongly oppose this iniative. Please preserve the scientific method and evidence- based medicine

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Paula Topjun
11/29/2016 08:46:56 am

I am on Medicare and spend the extra money to avoid the managed care programs. I use Medicare and a secondary specifically to avoid cost based decisions about my care. I am happy to use treatments that are cost effective, as long as my doctor feels they will work for me. I oppose this initiative.

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Marianne Parshley MD FACP
12/2/2016 08:49:31 pm

As a primary care physician I rely on the bias free, carefully balanced recommendations of the USPSTF in caring for my patients. Removing generalists from the task force, and threatening to reverse decisions which are based on evidence fort political or financial considerations threatens the health of our population and will increase the cost of and decrease the quality of the care we can provide
Evidence based recommendations should be free of political and financial bias, and specialty care input needs the perspective and balance of generalists in deciding recommendations.

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    The author of Talking To Your Doctor and Making Sense of Medicine blogs about the books, shared decision making, doctor-patient communication, and the redeemable imperfections of healthcare.

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