Healthcare or Health Harm?

Photo courtesy Deutsches Bundesarchiv, Wikimedia Commons

For indispensable reporting on the coronavirus crisis, the election, and more, subscribe to the Mother Jones Daily newsletter.


A commentary by two doctors in the current Journal of the American Medical Association suggests that it’s time to differentiate between healthcare and health harm. Although the data are imprecise, the authors suggest the benefits delivered by US healthcare may not outweigh the aggregate harm imparted.

In other words, you can never have too much health. Yet your health can be harmed by the overuse of medicine or by the costs of funding healthcare.

How does that work? First there’s direct harm from healthcare, including adverse physical and emotional effects from all the usual stuff associated with everything from excessive use to misdiagnoses to conflicting treatments.

Second, the authors suggest, there’s indirect harm. This comes from the fact that healthcare costs increasingly divert resources from education, jobs, and environmental quality—all important determinants of your health.

Healthcare’s objective should be to improve health, they say. Yet its primary emphasis has been on producing services. And fee-for-service payments tend to encourage the use of more treatments, new technologies, and extra testing. These additional services and their costs can actually harm health.

The fix? To begin with, study health harm to improve healthcare. Specifically, we need to understand the tradeoffs involved in healthcare interventions and expenditures in order to guide healthcare reform efforts. While more people need access to healthcare, that’s not enough. Healthcare reform needs to improve how medicine is practiced: centering it on patients, organizing it around primary care, and curbing health harm, including excessive healthcare use and spending.

How about this Rx: Fewer drugs, cleaner water, better air, healthful food, more exercise, education, jobs… 
 

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

payment methods

We Recommend

Latest

Sign up for our free newsletter

Subscribe to the Mother Jones Daily to have our top stories delivered directly to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate