In some sense, increasing cancer mortality likely results from people in industrialized nations being killed less often by other stuff (cars, emphysema, smallpox, contaminated water). And walking 10 km (on a regular basis) probably has significantly decreased cancer mortality, probably by changes in hormone balance and metabolism. Cancer research may not always be flashy, but they do seem to dig up useful stuff over time.
Moreover, contrary to One Flew Over the Cuckoo's Nest, modern treatment insists patients have voluntary, informed consent. This data isn't exactly hard to come by - Google ECT PubMed. In the US, unfortunately, ECT can be hard to come by, given attitudes such as that expressed by the parent poster, and I suspect reimbursement isn't that great (patients get general anesthesia for a few minutes, which isn't cheap, but US Medicare reimbursement for psychiatry is notoriously poor such that most psychiatrists don't take Medicare).
For some patients (perhaps about half) long-term outcomes for schizophrenia are reasonably functional. (Harding CM et al, The Vermont longitudinal study of persons with severe mental illness, Am J Psychiatry 1987: 144: 718.) For the other half, even on medication, they progressively deteriorate. It's a bummer for probably all of the latter and many (most?) of the former to not take their medicine, for everyone - they don't seem any happier, as agitation and paranoia tend to increase, and unmedicated psychosis is where ideas about pushing people in front of buses ferment. My sympathy is firm: I wouldn't want to take the pills either, what with varying degrees of fatigue (though this usually abates in most patients after a few weeks), weight gain, increasing cholesterol and blood sugar. I feel bad about the guys gesticulating wildly on the street, and though it's arguable their fate is better off than when us North Americans routinely institutionalized such people, it's hard not to feel they've been abandoned.
I'm not aware of antipsychotics causing physical or psychological dependence (using the clinical meaning of drug dependence), and I'm not aware of habituation either. I'd be interested in any such references. If I can get patients to take the pills, they do not seem to need more antipsychotics over time, nor do they withdraw when they stop taking them. I'm truly happy for people who can safely manage their hallucinations without medication, but for a great many patients - probably most - they really seem better off on antipsychotics.
I have not noted any downward pricing trend.
I have noted a lot of advertising from medical groups, however - in newspapers, sponsoring the weather on television, on billboards, and stadium walls. Not from new doctors coming to town, for the most part, since in most metropolitan areas small practices are increasingly being replaced by larger groups with more negotiating power or owned by hospital systems. That also doesn't seem to have improved pricing.
In most primary care practices I know of, you can typically make a same day appointment. I'd rue the day, however, you found an empty waiting room - that doesn't seem like the most efficient use of resources (especially given that physicians nearly all go through federally financed residencies in the US, and medical school itself elsewhere).
I know this is an incredibly unpopular thing to say right now, but consider that the first thing we do to a new child born into this world is to slap them in the face. Why would we do that? Willingly induce pain to a brand new life that literally hasn't even been in the world a minute? It's to induce breathing. To get that child sucking down yummy nitrogen-oxygen mixtures. The pain is for the benefit of the child. All too often, letting a child learn something "the hard way" is seen as child abuse, but the reality is that human beings don't learn things by being told, they learn things by doing. And a lot of doing involves screwing up and getting hurt.
I'm all for experiential learning, but I don't know anyone who slaps newborns in the face to get them breathing. (N.B.: I deliver newborns for a living, and work with a bunch of other people who do as well and am aware of their practice patterns.) Babies usually squall on their own just fine, and for those that don't we'll vigorously towel-dry them. For the even smaller subset who're affected by maternal drugs or other conditions and haven't gotten it together to breathe, we'll flick their feet with a back of a finger (along with verbal encouragement, albeit mostly for our own amusement and by way of explanation to concerned parents). If they're still not sucking down oxygen after a couple of minutes then they get a mask to the face or a tube down the trachea. The previous practice of slapping newborns on the ass to kickstart them has been out of fashion ever since I started practice. Of course, practice patterns vary and maybe you live in a face-slapping place.
The ass-slapping turns out to be unnecessary, though I have stood by while my own children attempted to snort juice up into their noses for an experiential lesson in why we might not do that.
Cognitive behavioral therapy compared with active control has been shown in multiple studies to produce persistent benefits, including decreased fatigue and better physical function. One trial even showed Internet-based cognitive therapy helpful (including 85 vs 27% absence of severe fatigue, and 78 vs 20% normal physical functioning).
Graded exercise therapy has been shown in randomized trials to improve fatigue and physical functioning (albeit not always with overwhelming success, such as 51% vs 27% self-rated improvement).
I'm always happy to challenge my assumptions, but I cannot find any references in a brief search of the literature to suggest that appropriate exercise in chronic fatigue is harmful or worsens cognitive functioning, or that it decreases energy or promotes anhedonia (lack of enjoyment in life). It's possible exercise had these effects on you, but I confess I'd wonder if you might benefit from a more organized graded exercise regimen perhaps with the initial supervision of a physical therapist conversant with chronic fatigue - it may not be something you can start out on your own - graded exercise really means starting out more gently than people may otherwise think is beneficial.
White PD, Goldsmith KA, Johnson AL, et al. Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial. Lancet 2011; 377:823.
Sharpe M, Hawton K, Simkin S, et al. Cognitive behaviour therapy for the chronic fatigue syndrome: a randomized controlled trial. BMJ 1996; 312:22.
Deale A, Chalder T, Marks I, Wessely S. Cognitive behavior therapy for chronic fatigue syndrome: a randomized controlled trial. Am J Psychiatry 1997; 154:408.
Deale A, Husain K, Chalder T, Wessely S. Long-term outcome of cognitive behavior therapy versus relaxation therapy for chronic fatigue syndrome: a 5-year follow-up study. Am J Psychiatry 2001; 158:2038.
Fulcher KY, White PD. Randomised controlled trial of graded exercise in patients with the chronic fatigue syndrome. BMJ 1997; 314:1647.
Sharpe M, Wessely S. Putting the rest cure to rest--again. BMJ 1998; 316:796.
Your doctor may be frustrated because he doesn't know how to help you, or because he doesn't have enough time to provide the help you need. Most of us really did get into this profession to help people (in my experience anyway) and when a patient can't readily be helped despite our efforts I confess you may see my frustration leaking through.
I hope you can find someone more sympathetic, but I suspect what's going to be most successful for you is someone who can help figure out a way for you to effectively exercise without making you more miserable.
1.SHEA, APIC, CDC, SIS. Consensus paper on the surveillance of surgical wound infections. Infect Control Hosp Epidemiol 1992; 13:599.
2.Cruse PJ. Surgical wound infection. In: Infectious Diseases, Wonsiewicz MJ (Ed), WB Saunders Co, Philadelphia 1992. p.758.
I'm sure they are out there, but I've never actually known a case of a physician objecting to an autopsy for fear of uncovering their errors. The egotistical among us I suspect feel they would likely be exonerated, and many (perhaps most others in these parts anyway, among my colleagues in the US Pacific Northwest) honestly would want to learn from their mistakes. Nevertheless, it's hard to figure out who funds them, and many families tend to feel it's a final act of violence. Still, it's hard for me to wrap my head around getting a more accurate, cost-effective answer from a CT scan than a old-fashioned postmortem.