Most modern diseases are very slowly progressive - insurance providers say early symptoms are benign, and that intervention is not "cost-effective"
until life-threatening symptoms occur. So health insurance does not cover investigative diagnostic testing or preventive treatments. As a result,
family doctors' hands are tied, ER doctors are under pressure to cut costs, and the health care system reacts mainly to life threatening crises. New
studies challenge the legitimacy of established "cost-effective treatment strategies" - and show even early symptoms can be dangerous.
"TIAs (mini-strokes) are not the benign variant of stroke, ...Two percent of TIA patients had a cardiovascular event ..., and eight percent of TIA
patients had a subsequent stroke during their hospital stay. ...In-hospital mortality was two percent for TIA patients... and five percent of TIA
patients... died during the six months after they were first seen. Five percent of TIA patients had a stroke after discharge... During their hospital
stay, eight percent of TIA patients had pneumonia or urinary tract infection... "...the acute diagnosis always has to be 'brain attack,'"
..."...patients are to be evaluated immediately and similarly, whether the properly validated symptoms have been resolved early or not."
"...nearly 3 percent of patients who were sent home with a diagnosis of non-heart chest pain went on to have a heart attack or related problem in the
next 30 days, ...ER doctors ...are under pressure to cut costs, ...people diagnosed with non-heart chest pain may "deserve closer scrutiny" in
order to identify cases that are really caused by the heart.
Please visit the link provided for the complete story.
Life threatening "symptoms" like heart attack, cancer and stroke are the leading causes of death in America today - and generally occur only after
an underlying disease already has progressed, often for decades. Early warning symptoms are classified as benign - like mini-strokes, chest pain,
arrythmias, headaches and body pain and until recently, high blood pressure. Insurance does not cover diagnostic testing to find the cause of
"benign" symptoms, nor treat underlying causes in the early stages of disease. Preventive treatments are never covered. Many diseases are not
diagnosed until it is too late for treatment.
"Focal fibromuscular dysplasia (FMD) of small coronary arteries is not so rare as it is unrecognized. …functional consequences are coronary
spasm, coronary reserve, chest pain, electrical instability of the heart, …hypertension, myocardial hypertrophy and heart failure."
...the Journal of Cardiovascular Surgery reported in 1993 that death in patients diagnosed with FMD came very slowly, and was caused 44.4% by heart
attacks, 33.3% by cancer and 22.2% by stroke.
According to the last publicly available report, FMD in adults in the USA is reported officially at an incidence rate of 1.7% – with 65% of reported
cases diagnosed in autopsy.
So every single day of 2003, almost 7,000 American adults were diagnosed in autopsy
One of the arguments against early diagnosis and treatment is that disease progression varies greatly from one person to the next. Medical dogma says
it is almost impossible to predict who will succumb, how or when. Progression is difficult to predict because modern diseases are "multifactorial" -
meaning several factors interract to speed progression and often, change the course of the disease.
Besides underlying infectious disease and super-imposed infections, pollution is an extremely important factor influencing disease progression.
The real debate is about cost.
"Air pollution clearly causes immediate damage to the heart, including heart attacks, ...The more pollution, the higher the rate of heart-related
deaths, emergency room admissions, visits to doctors and (other) "events"... ...cardiovascular disease incidents in general went up in winter and
were associated specifically with higher levels of ozone, nitrogen dioxide and carbon monoxide and of tiny particulates. ..."Numerous studies point
specifically to sulfate and sulfur oxides pollution from coal combustion as strongly linked to health impacts and premature deaths," ..."
Those who argue for early diagnosis and treatment say that prevention is less costly in the long run: to individuals, families, the economy and the
nation. They advocate higher front-end costs to avoid long term disabilities and back-end take-up. The anti-early-treatment faction wants to avoid the
front-end costs. They fear that early diagnosis and intervention will lead to long term insurance pay-outs and also, threaten drug industry
Strategy is important too: accepting the 'need for prevention argument' means acknowledging underlying infectious cause and the role pollution plays
in disease progression. Such an admission would open a whole other can of worms - and lead from allegations of liability, to huge clean-up costs for
food production facilities and water treatment plants, to costly pollution controls.
The Bush administration is more inclined to de-regulate infectious controls, down-regulate pollution clean-up and underfund established protection
"Lack of money slows cleanup of Superfund sites: Federal toxic waste program’s budget is stagnant"
"...the Environmental Protection Agency is close to issuing new guidelines for sewage treatment. The new guidelines would make it easier to dump
partially treated wastewater during periods of heavy rainfall, thus saving billions on treatment plant upgrades."
"Idaho Superfund Site Review Panel Members Challenged - According to documents filed with the NAS by the Natural Resources Defense Council and the
Center for Science in the Public Interest, six of 19 members of the panel have ties to mining, electric power, chemical, and other polluting
Slow-acting infectious agents are commonly spread through water and food; most are newly identified and unregulated. Chemicals that speed disease
progression permeate food, water - and air. Almost everyone is subjected to a constant barrage of inescapable disease-causing contamination. New
nano-filter technologies and more effective decontamination procedures are available but are not required, regulated or used. Even old regulations are
not enforced. As a result, the medical system is overwhelmed.
Doctors slap bandaids on the "work force" and send them back to the trenches. "Medical care" treats secondary symptoms, not underlying disease. It
is designed to keep people 'healthy enough' to keep working - and counts on them 'going quickly' when their bodies and brains collapse from the
strain. The drug industry is now the largest industry in the world and still growing by leaps and bounds - hustling 'medicine' to kill the pain and
mask the symptoms of underlying deadly disease.
Public policies support the insurance industry - and blame the victims. "Personal Responsibility in Health" policies shift the 'prevention' focus
to 2 or 3 disease-causing factors out of trillions, saying 'personal choices' are more important than infectious diseases or environmental
contamination. Other campaigns highlight "genetics"
and imply disease results from 'genetic inferiority' - despite the fact that infections and pollution cause the
underlying most so-called genetic diseases.
"Understanding Gene-Environment Interactions"
"Genome research targets environmentally induced disease"
Government and industry have harmonized their message, "You're on your own: even though your food, air and water are chock-full of unregulated
infectious agents and disease-causing chemical contaminants." Health is a personal responsibility. It's the neo-Eugenics creed. In the words of
Herbert Spencer, "The preservation of health is a duty. Few seem conscious that there is such a thing as physical morality."
The current 'late-stage-intervention-only medical model' has been questioned by alternative medical groups for a long time, but traditionally is
supported by the American Medical Association (AMA). Now, it looks like more doctors and scientists are breaking ranks to force needed changes.
[edit on 10-12-2004 by Banshee]