In the last post, I wrote about the new scientific revolution. The structure of scientific revolutions is very well defined and Thomas Kuhn wrote a book on the topic.
Aug 19·edited Aug 19Liked by William H Bestermann Jr MD
Hear, hear! The reversibility of coronary plaque due to lifestyle optimization is well-known and well-documented. The blind trust of the interventional cardiology's "obstructive coronary artery disease is killing you!" dogma is disturbing. Besides, multiple solid investigations looking into the effectiveness of coronary interventions vs. conservative medical therapies have concluded that there are ZERO clinical benefits gained from coronary interventions, ZERO. People is still performing these useless procedures to make the almighty dollars. Sad! The gaslighting and plundering need to stop now; America is going bankrupt because of the high costs of ineffective medical treatments and hospitalizations. ENOUGH!!!
I appreciate your passion. The most appropriate, evidence-based care is what I write about. Other developed countries live longer for 10% of gross domestic product. We spend 20% of GDP for worse outcomes because we follow the money rather than the evidence. Imagine the impact on American families, other businesses, and governments if we freed up ten percent of GDP.
Both arms of the “Ischemia” study generated 13-15% Major Adverse Cardiac Events or MACE, including deaths, indicating that both medical and interventional treatments failed to protect these patients. There are glaring blind spot in your legacy allopathic world views. People, millions of people are falling through the cracks of the broken system and dying, Bill! I look at the data.
We pay the most and agree OMT is common sense, scientific and works. That’s it! We have to consider decision makers may have been swayed by the device companies and other entities giving them the same information using your words “ corporate money ball” maybe we need to start collecting data show the proof
The “Late stage sickness seeking profiteering” of the legacy allopathic medicine has failed, and will continue to fail the public. Any patches of the same broken system will simply be patchy without solving the problem fundamentally.
Bill, my “passion” comes from decades of real world data mining and empirical research. Lifestyle optimization must take place before any of the medical interventions can happen. Early detection of physiological dysfunctions combined with well thought out lifestyle interventions will go a long way.
Great piece today, Bill. Is it not ironic that this ground breaking study that, as you write, was probably the first to fully recognize the value of non-interventional optimal medical therapy for heart disease occurred at the same time that health care was being corporatized? HCA was the first major corporate owner of hospitals, and they invested heavily in interventional cardiology starting early in the 1980s. It was all about making money for shareholders and top management. And it still is.
And this is a great insight. Thanks. Our healthcare costs much more because it is corporated moneyball. It does not follow the evidence. It follows the money. Europeans follow the evidence more closely. Singapore follows it very closely. The Europeans live longer for half the impact on GDP. Citizens of Singapore live longer for one fourth of the money. We coud fix it, but our leaders don't.
I know a lawyer who works in DC representing some of the people we talk about. I also feel common sense went out the window. He agrees but said it probably will not change in his lifetime because it works for some. The next question is we know what works how can we get this therapy to them? Remotely?
Thanks, Bill. This should come as no surprise. Kuhn describes the arduous process for a new paradigm to become accepted in spite of the anomalies. Think Galileo and Copernicus, John Snow, Darwin, and the list goes on. I first read Kuhn as a chemistry major, but as an independent study in intellectual history. I later argued that one couldn't claim to be well educated, at least in math, science, and history, without having read it. (How often have you heard people talk about a paradigm shift without knowing where the concept originated?)
Interesting that Kuhn's book and John Rawls' Theory of Justice have passed their 50th anniversaries and are still as relevant as ever. I would wager they would both be pleased with what you are doing, Bill. Thank you.
You were way ahead of me in recognizing the landmark nature of Kuhn's work. I agree that it is timeless. It describes the human response to new information and that is the battle to improve our lives. I really appreciate your insight. In this case the new paradigm can give us longer, healthier lives at lower cost.
Hear, hear! The reversibility of coronary plaque due to lifestyle optimization is well-known and well-documented. The blind trust of the interventional cardiology's "obstructive coronary artery disease is killing you!" dogma is disturbing. Besides, multiple solid investigations looking into the effectiveness of coronary interventions vs. conservative medical therapies have concluded that there are ZERO clinical benefits gained from coronary interventions, ZERO. People is still performing these useless procedures to make the almighty dollars. Sad! The gaslighting and plundering need to stop now; America is going bankrupt because of the high costs of ineffective medical treatments and hospitalizations. ENOUGH!!!
I appreciate your passion. The most appropriate, evidence-based care is what I write about. Other developed countries live longer for 10% of gross domestic product. We spend 20% of GDP for worse outcomes because we follow the money rather than the evidence. Imagine the impact on American families, other businesses, and governments if we freed up ten percent of GDP.
Both arms of the “Ischemia” study generated 13-15% Major Adverse Cardiac Events or MACE, including deaths, indicating that both medical and interventional treatments failed to protect these patients. There are glaring blind spot in your legacy allopathic world views. People, millions of people are falling through the cracks of the broken system and dying, Bill! I look at the data.
We pay the most and agree OMT is common sense, scientific and works. That’s it! We have to consider decision makers may have been swayed by the device companies and other entities giving them the same information using your words “ corporate money ball” maybe we need to start collecting data show the proof
The “Late stage sickness seeking profiteering” of the legacy allopathic medicine has failed, and will continue to fail the public. Any patches of the same broken system will simply be patchy without solving the problem fundamentally.
Bill, my “passion” comes from decades of real world data mining and empirical research. Lifestyle optimization must take place before any of the medical interventions can happen. Early detection of physiological dysfunctions combined with well thought out lifestyle interventions will go a long way.
Great piece today, Bill. Is it not ironic that this ground breaking study that, as you write, was probably the first to fully recognize the value of non-interventional optimal medical therapy for heart disease occurred at the same time that health care was being corporatized? HCA was the first major corporate owner of hospitals, and they invested heavily in interventional cardiology starting early in the 1980s. It was all about making money for shareholders and top management. And it still is.
And this is a great insight. Thanks. Our healthcare costs much more because it is corporated moneyball. It does not follow the evidence. It follows the money. Europeans follow the evidence more closely. Singapore follows it very closely. The Europeans live longer for half the impact on GDP. Citizens of Singapore live longer for one fourth of the money. We coud fix it, but our leaders don't.
Your article beautifully written
That comment means a lot to me
Good description
I know a lawyer who works in DC representing some of the people we talk about. I also feel common sense went out the window. He agrees but said it probably will not change in his lifetime because it works for some. The next question is we know what works how can we get this therapy to them? Remotely?
We must get the word out and provide alternatives. I work hard every day.
We can do it
I worked at one it’s true that is still their model
Thanks, Bill. This should come as no surprise. Kuhn describes the arduous process for a new paradigm to become accepted in spite of the anomalies. Think Galileo and Copernicus, John Snow, Darwin, and the list goes on. I first read Kuhn as a chemistry major, but as an independent study in intellectual history. I later argued that one couldn't claim to be well educated, at least in math, science, and history, without having read it. (How often have you heard people talk about a paradigm shift without knowing where the concept originated?)
Interesting that Kuhn's book and John Rawls' Theory of Justice have passed their 50th anniversaries and are still as relevant as ever. I would wager they would both be pleased with what you are doing, Bill. Thank you.
You were way ahead of me in recognizing the landmark nature of Kuhn's work. I agree that it is timeless. It describes the human response to new information and that is the battle to improve our lives. I really appreciate your insight. In this case the new paradigm can give us longer, healthier lives at lower cost.