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.