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The Journal of Degenerative Disease,
February/March 2002: 3(3rd); pages 37-38
Iatrogeny as defined by Mosbys
It is well known that many new drugs, devices, surgeries and treatments are touted as miracles of modern medicine, and albeit this article does not argue this, this writer believes that much of this has two sides, possibly two hundred. This article focuses on a dark side. Caveat Emptor. Buyer Beware.
I am blessed in that 95% of the people I know is a doctor, scientist or activist in health care, and/or unfortunately, a victim of iatrogeny--including myself. My honour and respect is commanded for the many of these people who are working on one way or another to address iatrogeny.
A generation ago, people trusted their doctors blindly and implicitly. There seemed to be a personal bond with one's doctor which has eroded with the emphasis on medicine as a business, CPT codes, HMOs and iatrogeny, among other things. The health care market place is not kind and people have lost trust. Iatrogeny plays a large and ugly role in this.
A recent study published in The Joumal of The
American Medical Association 2000:284:94); by Barbara
Starfield, MD, MPH showed that in the US, this data was
Iatrogeny is not exclusive to the US. The British Medical Journal stated on 18 March 2000 that "In Australia, medical error results is an many as 18,000 unnecessary deaths, and more than 50,000 patients become disabled every year." Studies released in the last ten years show similar trends in the UK, Canada and New Zealand. New Zealand has a larae percentage ratio of adverse drug reactions comparable to the US. It should be noted that the US and New Zealand are the only countries that allow aggressive pharmaceutical drug advertisements.
One very interesting statistic I came across which
deserves mention are deaths attributed to addictive drugs in
the UK between 1990 and 1995:
Many can pooh-pooh these statistics and claim that to err is human, etc., however there comes a point when one must look deeper when the facts and statistics are too overwhelming to ignore. Those in power have choices to make. They can rationalise, deny or take responsible action. The latter seems to be slow in genesis. There has been much denial and silence from the allopathic medical industrial complex. Since medicine has become an arm of business and since business and politics are such passionate bedfellows, one must look at some other interesting facts.
Drug companies spend huge fortunes for political influence, in fact lobbying for phamiaceutical interests in the first half of 2000 reached $42.9 million (USD); and it was estimated that $230 million (USD) would be spent during the election. George Bush welcomed $1.7 million (USD) from drug companies just for his inauguration celebrations! (British Medical Journal 27 January 2001). Drug companies are a business and have always been a business. They do not give such an investment without an expected return with profits. Perhaps this is why officials turn a blind eye to the fact that doctors and hospitals are responsible for nearly a quarter-million deaths in the US per year. Or perhaps this is why the pharmocompanies manufacture pesticides and chemicals that cause cancer and disease and then manufacture drugs to treat diseases they cause that can cause even more disorders to create a market for more drugs--and more profit. A very lucrative cvcle. Perhaps this is why funding for disease research successfully diverts attention from the pharmocartels own carcinogenic and deadly products. One need not look too hard for reasons why doctors' and hospitals' mistakes are the third leading cause of death in America, with no end in sight.
Many believe that Barbara Starfield's study cited earlier is just the tip of the iceberg. After all, the study only looked at hospitalised patients. What of the in home and outpatient errors? There are more people to consider in these groups, and certainly more iatrogeny. Could it be that iatrogeng is the leading cause of death in the US? The World? As startling and unsupported as that sounds, it may very well be true. At any rate, the iatrogenic holocaust makes World War II deaths pale in comparison. Yet only patronising and minimal attempts to recognize and correct iatrogeny have been made.
Murder Or Mistake?The fine line between murder or mistake is a hot potato. If you saw your neighbours being killed one by one and/or en masse, yet did nothing about it, or took up for the killers, you could be guilty of "accessory to murder" or "accessory to murder after the fact". Many analogies and ethical juxtapositions could be generated in such a debate. One could even make argument for a global elitist plan at population control allowing iatrogeny to gain such momentum. Regardless of etiology, iatrogeny is real. It is rampant and far from being under control. By making iatrogeny, through semantics, sound as it is an infectious disease beyond the control of physicians and hospitals, we allow the medical profession and pharmaceutical cartels to distance themselves from responsibility and relieve them from the culpability of what mirrors negligent homicide.
It would be humanly impossible to eliminate genuine mistakes entirely. The problem is that, "How many times does a mistake happen until it's not just a mistake anymore, but negligence?" This author believes that 225,000 deaths every year may be an example of when mistakes cross over to the darkness of negligence. If so, then we are witnessing the greatest holocaust to befall mankind ever.
In closing, I leave you with my own
definition of a freshly coined word.
*For more information on iatrogeny, contact me at firstname.lastname@example.org
WORLD HEALTH REPORT 2000,
Leape, L., Unnecessary Surgery, Annu.Rev. Pub. Health. 1992;l 3:363-383.
Starfield, B., Is U.S. Health Really the Best in the World? Jama 2000:284:(4).
Bagnall, G., Will the Accused Please Rise! Healthy Options, 2001:November:9-11.
Kohn, L., ed., Corrigan,J., ed., Donaldson, M., ed., To Err is Human: Building a Safer Health System. Washington, DC, National Academy Press; 1999.
Weingart, S.N., Wilson, R.M., Gibbard, R.W., Harrison, B., Epidemiology and Medical Error. BMJ 2000;320:774-777.
Evans, R., Roos, N., What is right about the Canadian Health System? Milibank Quarterly 1999; 77:393-399.
Anderson, G., Poullier, J.-P., Health Spending, Access and Outcomes: Trends in Industrialised Countries.
New York, NY: The Commonwealth Fund 1999.
The New Zealand Herald, 14 September, 1990.
Death by Medicine by Gary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD - October 2003 http://www.nutritioninstituteofamerica.org/research/DeathByMedicine/DeathByMedicine1.htm