Live data from Hacker News

Experts warn yearly checkups carry risks and do not reduce mortality

english.elpais.com

231–240 of 269 posts

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#231
post #228

Earlier quoted context omitted.

How do "we" decide something? It sounds like you are advocating for mob rule but calling it democracy. Help me understand how that is not what you are saying. What is the "collective democratic process" you are advocating for? How does a law get made and how does a law get enforced?

Democracy is mob rule. Direct democracy. The fear of "too much democracy" is only a fear for people who are afraid that others might not want the same things they do. One person, one vote is mob rule. What that requires is a well informed, well educated population. Instead we have an ignorant, uninformed population that leaves all of the important decisions to a hand full of representatives that tend to run things th…

> What that requires is a well informed, well educated population.

Isn't this very uncommon, in addition to the need to be at least somewhat compassionate (e.g. in regards to issues that might not affect individuals personally, but that affect minorities, or simply those who are different)? A certain social cooling might be needed in many societies, less extremism, less identity politics, less hate.

I don't think we live in such a world, yet.

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#232
post #92

Personal example: my primary care physician scheduled me for a physical, including picking the date, without even asking. It just showed up on my online chart. Okay, I hadn't had a physical for a while, so I just went with it. While stopped at an intersection on the way to his office, a woman plowed into me and 2 other cars because she wasn't paying attention, and was likely on her phone. That wreck generated $45K of…

> That wreck generated $45K of medical bills for me and a 21-month settlement process.

Someone hit you with their car and you got $45k of medical bills? What sort of a backwards place do you live in?

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#233
post #228

Earlier quoted context omitted.

Democracy is mob rule. Direct democracy. The fear of "too much democracy" is only a fear for people who are afraid that others might not want the same things they do. One person, one vote is mob rule. What that requires is a well informed, well educated population. Instead we have an ignorant, uninformed population that leaves all of the important decisions to a hand full of representatives that tend to run things th…

> What that requires is a well informed, well educated population. Isn't this very uncommon, in addition to the need to be at least somewhat compassionate (e.g. in regards to issues that might not affect individuals personally, but that affect minorities, or simply those who are different)? A certain social cooling might be needed in many societies, less extremism, less identity politics, less hate. I don't think we…

It is the world we should create instead of waiting for others to improve things for us. The status quo is the problem.

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#234
post #92

Personal example: my primary care physician scheduled me for a physical, including picking the date, without even asking. It just showed up on my online chart. Okay, I hadn't had a physical for a while, so I just went with it. While stopped at an intersection on the way to his office, a woman plowed into me and 2 other cars because she wasn't paying attention, and was likely on her phone. That wreck generated $45K of…

> That wreck generated $45K of medical bills for me and a 21-month settlement process. Someone hit you with their car and you got $45k of medical bills? What sort of a backwards place do you live in?

USA obviously

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#235

I call bullshit on this. I had a very rare heart condition that was discovered during one of my yearly check ups. Chasing the root cause led us to even more scarier findings.

How many examples of bad outcomes would it take to retract your "bullshit" assessment? Ideally, somebody would take all the good that came from the checkups, and compare that to the amount of bad effects where poor interventions were chosen, and weigh them out. Such a study would be quite useful...

I’m pretty sure bad outcomes out number good ones. Were there bad outcomes because of an incompetent provider or a test with high false positives? I’m pretty sure it’s the former.

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#236
post #228

Earlier quoted context omitted.

How do "we" decide something? It sounds like you are advocating for mob rule but calling it democracy. Help me understand how that is not what you are saying. What is the "collective democratic process" you are advocating for? How does a law get made and how does a law get enforced?

Democracy is mob rule. Direct democracy. The fear of "too much democracy" is only a fear for people who are afraid that others might not want the same things they do. One person, one vote is mob rule. What that requires is a well informed, well educated population. Instead we have an ignorant, uninformed population that leaves all of the important decisions to a hand full of representatives that tend to run things th…

But I don't think that's changing. This is key to young person vs old person thinking. Young people believe we can actually change to a well informed population. They end up getting old realizing that wasn't actually possible, become rich (because we're talking about the smart ones here) and then end up donating to representatives for getting things to run the way they believed it should be. See what I did there?

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#237
post #228

Earlier quoted context omitted.

Democracy is mob rule. Direct democracy. The fear of "too much democracy" is only a fear for people who are afraid that others might not want the same things they do. One person, one vote is mob rule. What that requires is a well informed, well educated population. Instead we have an ignorant, uninformed population that leaves all of the important decisions to a hand full of representatives that tend to run things th…

But I don't think that's changing. This is key to young person vs old person thinking. Young people believe we can actually change to a well informed population. They end up getting old realizing that wasn't actually possible, become rich (because we're talking about the smart ones here) and then end up donating to representatives for getting things to run the way they believed it should be. See what I did there?

Its almost as if our society encourages wealthy people to become cynical, selfish, and apathetic.

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#238

Nassim Taleb wrote at length about his beliefs about "iatrogenic" harm, which is that caused by the doctor themselves. His ideas about it are mercifully summarized in the FS blog: https://fs.blog/iatrogenics/ and how it expands as a pattern to be aware of.

Searched immediately for Taleb as he is the most notable example of calling this out.

The second being a classic Munger idea of misaligned incentives. Doctors hardly get to practice medicine anymore and is why old variations of common sayings like “Never trust a doctor who only knows medicine, a lawyer who only knows law, or a pharmaceutical company that only knows profits” still circulate. Except the punchline has become reality for a number of professions.

Re: Experts warn yearly checkups carry risks and do not reduce mortality

#240
"Thus, for statistical reasons, the more patients there are in a population, the more reliable a positive result will be. Conversely, a positive is more likely to be false in the case of rare diseases."

This description of Baye's theorem is wrong. It should say that the higher the prevalence of the disease in the population, the more reliable a positive result will be.

3blue1brown has a good yt video on the topic which I recommend:)

Post reply on HN