How to say “No” to your doctor: improving your health by decreasing your health care

by Carol A. Westbrook

PillsHas your doctor ever said to you, “You have too many doctors and are taking too many pills. It's time to cut back on both”? No? Well I have. Maybe it's time you brought it up with your doctors, too.

Do you really need a dozen pills a day to keep you alive, feeling well, and happy? Can you even afford them? Is it possible that the combination of meds that you are taking is making you feel worse, not better? Are you using up all of your sick leave and vacation time to attend multiple doctors' visits? Are you paying way much out of pocket for office visits and pharmacy co-pays, in spite of the fact that you have very good insurance? If this applies to you, then read on.

I am not referring to those of you with serious or chronic medical conditions, such as cancer, diabetes, and heart disease, who really do need those life-saving medicines and frequent clinic visits. I am referring here to the average healthy adult, who has no major medical problems, yet is taking perhaps twice as many prescription drugs and seeing multiple doctors 3 – 4 times as often as he would have done ten or fifteen years ago. Is he any healthier for it?

There is no doubt that modern medical care has made a tremendous impact on keeping us healthy and alive. The average life expectancy has increased dramatically over the last half century, from about 67 years in 1950 to almost 78 years today, and those who live to age 65 can expect to have, on average, almost 18 additional years to live! Some of this is due to lifestyle changes but most of the gain is due to advances in medical care, especially in two areas: cardiac disease and infectious diseases, especially in the treatment of AIDS. Cancer survival is just starting to make an impact as well. But how much additional longevity can we expect to gain by piling even more medical care on healthy individuals?

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