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Overview"How partisanship, polarization, and medical authority stand in the way of evidence-based medicine The U.S. medical system is touted as the most advanced in the world, yet many common treatments are not based on sound science. Treatments can go into widespread use before they are rigorously evaluated, and every year patients are harmed because they receive too many procedures--and too few treatments that really work. Unhealthy Politics sheds new light on why the government's response to this troubling situation has been so inadequate, and why efforts to improve the evidence base of U.S. medicine continue to cause so much political controversy and public trepidation. This critically important book draws on public opinion surveys, physician surveys, case studies, and political science models to explain how political incentives, polarization, and the misuse of professional authority have undermined efforts to tackle the medical evidence problem and curb wasteful spending.It paints a portrait of a medical industry with vast influence over which procedures and treatments get adopted, and a public burdened by the rising costs of health care yet fearful of going against ""doctor's orders."" The book shows how the government's efforts to promote evidence-based medicine have become mired in partisan debates. It also proposes sensible solutions that can lead to better, more efficient health care for all of us. Unhealthy Politics offers vital insights not only into health policy but also into the limits of science, expertise, and professionalism as political foundations for pragmatic problem solving in American democracy." Full Product DetailsAuthor: Eric M. Patashnik , Alan S. Gerber , Conor M. DowlingPublisher: Princeton University Press Imprint: Princeton University Press Weight: 0.454kg ISBN: 9780691158815ISBN 10: 0691158819 Pages: 280 Publication Date: 03 October 2017 Audience: College/higher education , Professional and scholarly , Tertiary & Higher Education , Professional & Vocational Format: Hardback Publisher's Status: Active Availability: Temporarily unavailable  The supplier advises that this item is temporarily unavailable. It will be ordered for you and placed on backorder. Once it does come back in stock, we will ship it out to you. Language: English Table of ContentsReviewsPersuasive. ---Carey Goldberg, WBUR's CommonHealth blog Winner of the 2018 Don K. Price Award, Science, Technology & Environmental Politics Section of the American Political Science Association Unhealthy Politics connects the dots in the complex relationships among physicians, medical societies, the public, and politicians. . . . Unhealthy Politics, in the end, is most convincing in describing the limited extent to which evidence can guide the activities of key actors. The irony is this: For those who wish to see evidence-based medicine implemented, more and better medical evidence might not be the answer. Rather, we need better evidence about how to implement what we already know. ---Romana Hasnain-Wynia, Health Affairs A remarkable example of the contribution that political science has to make to discussions of policy problems that have chiefly concerned other fields . . . . Patashnik, Gerber, and Dowling bring to bear not only a wealth of original survey evidence . . . but also a wealth of theoretical insights from the policy process and legislative politics literatures. * Journal of Politics * The United States stands out among rich countries in resisting evidence-based medicine--not in theory, perhaps, but in practice. In this informative book, the authors, all political scientists, document this phenomenon and then consider why ordinary people, physicians, and politicians all resist public spending on research that would produce obvious benefits for everyone. ---Richard N. Cooper, Foreign Affairs Winner of the 2018 Louis Brownlow Book Award, National Academy of Public Administration Unhealthy Politics connects the dots in the complex relationships among physicians, medical societies, the public, and politicians. . . . Unhealthy Politics, in the end, is most convincing in describing the limited extent to which evidence can guide the activities of key actors. The irony is this: For those who wish to see evidence-based medicine implemented, more and better medical evidence might not be the answer. Rather, we need better evidence about how to implement what we already know. --Romana Hasnain-Wynia, Health Affairs The United States stands out among rich countries in resisting evidence-based medicine--not in theory, perhaps, but in practice. In this informative book, the authors, all political scientists, document this phenomenon and then consider why ordinary people, physicians, and politicians all resist public spending on research that would produce obvious benefits for everyone. --Richard N. Cooper, Foreign Affairs Persuasive. --Carey Goldberg, WBUR's CommonHealth blog Persuasive. --Carey Goldberg, WBUR's CommonHealth blog Author InformationEric M. Patashnik is the Julis-Rabinowitz Professor of Public Policy and Political Science at Brown University. His books include Reforms at Risk (Princeton). Alan S. Gerber is the Charles C. and Dorathea S. Dilley Professor of Political Science at Yale University. His books include Field Experiments. Conor M. Dowling is associate professor of political science at the University of Mississippi. He is the coauthor of Super PAC! Tab Content 6Author Website:Countries AvailableAll regions |
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