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Comment where have i gone wrong (Score 1) 369

Oh so dumb i am. i actually do read the reviews to help decide between two things i am researching. you can tell that many are bots or whatever, produced by the company. however, if one reads through the chatter, you can get some idea of the issues people have with the company. i fear these online reviews are bogus. is there any data about the number of these reviews that are actually done by the company marketing department? would seem like a good project for a graduate student. i smell a class action.

Comment how will we work this out (Score 1) 1064

Women who have had total hysterectomies because of cervical cancer or history of HPV still require regular pap smears (http://www.med.umich.edu/opm/newspage/2003/skippap.htm) there is always a risk of recurrence of cancer locally in the vaginal cuff. in addition, many women may not know about exposure to hpv and the risk of vaginal cancer. is this cost efective--probably not, but one needs to define cost effective--one in 100 or 10,000. what would you do personally or advise your mom, wife, sister if her doctor explained that the "system" would not cover the $100 dollar test. what would you do if you could not afford it. what would you do if you had to decide how to pay for childhood immunizations but the budget was strained by thousands of $100 dollar tests and you could not provide for childhood immunizations. the devil is in the details, and it depends on where you stand. these blanket assertions do no one any good. we all are going to have to decide what level of treatment is acceptable. of course, if you are the one with the cancer, you always have recourse to the tort system. so much for the savings.
Medicine

Submission + - Why Doctors Hate Science

theodp writes: "A 2004 study found some 10 million women lacking a cervix were still getting Pap tests. Only problem is, a Pap test screens for cervical cancer — no cervix, no cancer. With this tale, Newsweek's Sharon Begley makes her case for comparative-effectiveness research (CER), which is receiving $1 billion under the stimulus bill for studies to determine which treatments, including drugs, are more medically and cost-effective for a given ailment than others. Physicians, Begley says, must stop treatments that are rooted more in local medical culture than medical science, embrace practices that have been shown scientifically to be superior to others, and ignore critics who paint CER as government control of doctors' decision-making."

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