The Great Medical Myth
Robert L. Peck
The data given by the AMA and the U.S. Department of Health points to
the ineffectiveness of medicine in terms of life expectancy and health.
Medicine is now perceived as the means of extending your life and
freeing you from pain. To support this belief, Americans are now spending
over fourteen cents out of each dollar and are currently debating spending
even more.
It is surprising, however, that no one seems to be asking if they are
getting their money’s worth with a longer, more fruitful life and if their
fear of pain and suffering is truly being addressed.
It is a very simple matter to check into how long men and women live and
compare that to our ancestors. Almanacs have faithfully given the basic
statistics year after year concerning the number of deaths per each 100,000
people due to various ailments. If the statistics are tabulated for the
years since 1900 a number of very unexpected and certainly not widely
publicized facts emerge. (Table 1 shows the death rates for specific
diseases while Table 2 shows how many years a person is expected to live
from birth as well as beyond age 50.)
- Death from smallpox,
cholera, diphtheria, whooping cough, and measles were dropping
steadily long before vaccinations were introduced and long before the
miracle drugs (antibiotics) were developed. After their development,
the diseases continued to drop at the same rate as before and did not
suddenly disappear as might have been predicted. Tuberculosis was
dropping long before any treatment was known, and even after the
advent of the antibiotics there was no sudden drop in the number of
deaths, but rather the steady decline continued as before.
- If the death rate
due to heart failure is studied, you will note a rise in the death
rate reaching a peak in the 50’s and then declining slowly afterward.
But the current death rate is still almost twice that for 1900 and
there is no indication of any changes due to the advent of surgical
techniques and powerful drugs. Most health officials attribute the
drop off in this death rate to reduced smoking and better exercise,
and not to radical medical treatments.
- Diabetes continues
to rise without any indication of the introduction of insulin shots in
the gradually ascending death rate curve.
- Pneumonia dropped
continually since 1900 until around 1950 with the wider usage of
antibiotics and then started to rise. Medicine claims that the rise is
due to the resistance of bacteria to antibiotics, but there is no
direct evidence that they helped to reduce the death rates.
- Recent studies of
our really ancient ancestors, the Neanderthal, showed that they were
probably in as good of health as we are today with modern medicine
(1).
- Christian Scientists
who have long refused medical treatments have lived on the average as
long as the rest of us.
- A newborn child in
1850 had only about half of the life expectancy of an infant born
today. This improvement in life span can be seen as steadily improving
over the years beginning long before the advent of modern medicine.
The increasing of life span is firstly attributed to sanitation
including the simple window screen and waste removal, making the
garbage and sanitation workers far more important to health than the
medical technologists. Later improvement in longevity for everyone is
explained with better food, exercise, and education.
- A man or woman at
the age of 50 only lives a few more years longer than did those people
in 1850 and this small increase is attributed to a better life style
rather than to medicine. (Also note that men did not previously
outlive women as commonly stated.)
Table 1
Death rates per 100,000(2)
|
|
1900
|
1925
|
1950
|
1970
|
1980
|
1985
|
1990
|
1996
|
|
TB
|
185
|
97
|
23
|
3
|
1
|
|
|
|
|
Heart
|
153
|
170
|
358
|
362
|
336
|
323
|
289
|
277
|
|
Cancers
|
68
|
87
|
140
|
163
|
184
|
193
|
202
|
205
|
|
Pneumonia
|
162
|
105
|
27
|
31
|
24
|
28
|
31
|
31
|
|
Diabetes
|
12
|
17
|
16
|
19
|
15
|
16
|
20
|
23
|
|
Measles
|
10
|
7
|
.3
|
|
|
|
|
|
|
All Causes
|
1621
|
1157
|
960
|
950
|
880
|
870
|
860
|
875
|
Table 2
Life Expectancy in years to live
|
|
1850
|
1900
|
1920
|
1930
|
1940
|
1950
|
1960
|
1970
|
1995
|
|
At birth
|
|
|
|
|
|
|
|
|
|
|
Males
|
38
|
48
|
56
|
59
|
63
|
68
|
68
|
68
|
73
|
|
Females
|
40
|
51
|
59
|
63
|
67
|
72
|
74
|
75
|
80
|
|
At age 50
|
|
|
|
|
|
|
|
|
|
|
Males
|
22
|
20
|
22
|
21
|
22
|
23
|
23
|
23
|
27
|
|
Females
|
23
|
22
|
23
|
23
|
25
|
27
|
28
|
29
|
32
|
(A male infant born in 1995 can be expected to have 73
years ahead of him, whereas a man of 50 only has 27 more expected years.)
Thus it appears that medicine doesn’t help us live longer. Perhaps
instead, medicine makes us healthier? We all know people who have been
greatly assisted by medical care. However, we all also know or suspect that
medicine has debilitated or killed others that we knew.
Medicine has a name for those ailments or deaths that are caused by
medicine, “iatrogenic,” which means “physician originated”. The American
Medical Association recently reported (3) that over 10% of the admissions
to an Intensive Care Unit were due to medically induced diseases. The
percentage of hospital patients acquiring a medically induced illness is
given as varying from 2% to as high as 36% across the nation. Of those who
acquire an iatrogenic illness, the mortality rate can be as high as 20%.
The AMA reported earlier that 20% of patients admitted to a hospital
suffered iatrogenic injuries with 14% of these cases being fatal. These
numbers add to over 100,000 deaths per year in the US hospitals. That would
make iatrogenic disease the fourth ranking cause of death preceded by heart
failure, cancer, and stroke.
One number that is given by many physicians is that medicine cannot help
80% of their patients other than by alleviating their symptoms. A recent
study by the AMA (4) reported that up to 80% of the patients tested by
physicians demonstrated no known physiological or organic cause for their
disorders. Most of these types of ailments are labeled as psychosomatic.
The above statistics suggest that roughly out of 100 patients who seek
medical assistance, 80 will be unchanged as to the course of the illness,
10 will be made worse, leaving only 10 who will be improved. Of the 10 made
worse 2 will die, and of the 10 made better, if the preceding mortality
rates are considered, 2 will live that otherwise might have died. This
keeps the mortality rates unaffected by the advent of modern super drugs.
The net score for medicine is, therefore, no decrease in overall mortality
rates as the data indicates, but an improvement in the value of life for
some and a decrease in the value of life for others. (It should be noted
that these figures are an average of all ailments and some ailments would
be expected to have very few iatrogenic complaints, whereas some may have a
very high incidence. Similarly, some cases may have little improvement with
medicine, whereas some others may have a high improvement rate. This means,
of course, that discretion is required, and that patients need to have far
more understanding of treatment or require some unbiased advice from
someone who is not profiting by their further treatment.)
Concerning pain, almost all of us know of people dying with cancer
asking for more painkillers or death. Doctors argue that they cannot
administer sufficient pain killers to alleviate severe pain because: 1) it
is possible that the patient might recover and then be addicted to the pain
killer, 2) the administering of more pain killer may contribute to the
death of the patient, 3) if doctors do not follow prescribed drug
administration rules, they may be liable for law suits.
Connected with the issue of painkillers is that of the administration of
psychoactive or mind altering drugs used to “calm” individuals. These drugs
have very serious side effects as reported by the manufacturers, and there
are many stories in popular magazines and newspapers about their misuse;
however, very little actual data is available. This is no doubt due to the
inability to prove whether the side effect is due to iatrogenic or natural
causes. Both iatrogenic and natural ailments may result in such things as:
loss of motor function, speech impairment, coordination, mental acuity and
simple inattention. Any nursing home, for instance, can claim that the
immobility and speech impairment of patients is caused by senility and not
their medication.
A comparison can be made with our ancestors who could freely purchase
any drug they wished without a prescription from the local pharmacy. This,
of course, was before the AMA formed the present alliance with Government
to bring medicine under control. The argument given for control was that
people were buying patent or worthless medicine and could kill themselves
by taking the wrong medicine. However, it is doubtful that, even at the
worst, the populace could have killed themselves at anywhere near the
present rate of about 100,000 dying from drug-induced iatrogenic illnesses
in the US. As to modern drugs being superior to the old patent medicines,
further questions certainly could be raised. In any case, the money wasted
on patent medicines in the past is certainly a small amount compared to the
money spent on doubtful modern treatments offered by some physicians and
clinics.
In other words, the rise of the powerful and costly Medical-Government
complex cannot demonstrate any overall increase in life and comfort
compared to the inexpensive, free choice medicine used by our ancestors or
even by the medical treatment offered by other cultures and alternative
systems.
1) The Krapina Hominids, Republic of Croatia. Reported by: Univ. of
Pennsylvania, Museum of Archaeology and Anthropology
2) National Center for Health Statistics, U.S. Dept. Health and Human
Services
3) AMA, Archives of Internal Medicine Volume 159 Number 1, January 11, 1999
4) Journal of the AMA, December 21,1994: 1851-57
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