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Tuesday, September 8, 2015

Free Speech in Medicine

Free speech is an essential right of free people in a Republic such as the United States of America and in democracies around the world. But what does free-speech mean when it comes to economics? What does free-speech mean in healthcare?

Free speech in economics means price transparency and product transparency. Price transparency means knowing the price of a hamburger before you buy it.

Product transparency means knowing the quality of the hamburger before you buy it. The quality may be demonstrated by having pictures of the hamburger on the menu, or by having advertisements that show pictures of the hamburger. Essentially, one way or another, the customer knows the quality of the hamburger at McDonald’s versus the quality of the hamburger at Johnny Rockets’ restaurant.

When it comes to buying a computer we have excellent price transparency and product transparency. The price is clearly listed and the product specifications are often listed in great detail. You know exactly how much RAM you’re getting and how big your hard drive will be.

When you buy something on Amazon.com, you are given the price, and you also have product transparency via product ratings. Indeed, the product ratings and comments are one of the most popular features on Amazon.com.

When you buy things in a country with free speech you are freely given the price in advance and you are allowed to educate yourself about a product as much as you want before you buy it. There is transparency.

We want free-speech in medicine. Many organizations have recently started to provide price transparency in medicine. It’s a great movement. It empowers patients. I have listed some "price transparency" websites near the end of this post.

But, we also want more product transparency about medical treatments. What patients need to know is all the possible treatments for a diagnosis and the “absolute net treatment benefit” for those treatments. The patient needs to be able to see the statistics themselves, and the patient needs to be able to give weight to the statistics based upon their own personal preferences. We believe that besides the standard medical review article, we need review articles that attempt to quantify the science of medicine behind medical treatments on an "absolute net treatment benefit scale."

We need to get away from the relative value that we often see in hyped up articles, which can be 75%, 50%, or 25%, when the absolute value of the treatment is only 1%. The 1% absolute value is much more important to the patient, to you, and to me.

We want to help you to educate yourself as much as you can about medical treatments. In order to do this we have created an educational website:
http://TreatmentScores.com

Are you smart enough to do evidence-based medicine? The website http://TreatmentScores.com provides you with four free tools:

1) Diagnosis Tool™
2) Treatment Organizer™
3) Treatment Score Calculator™
4) STAR™ Block page = STatistic and a Reference page.

Using our tools and our tutorial page you can learn to quantify the science of medicine behind medical treatments. You and your loved ones need this!

Register at http://TreatmentScores.com and start learning now.

TreatmentScores.com is an early alpha website. You should register and go to the tutorial page:
http://treatmentscores.com/tutorial.php

TreatmentScores.com provides you with do it yourself educational tools, to organize and study the medical literature, and eventually we hope to have “hands on” mentoring, teaching, forums, FAQs, and so on.

We need smart people that care about treatments. We need health writers and bloggers that can do evidence-based medicine. We need skeptics that want to separate the science from the hype.

The Harvoni Example
I saw a TV commercial on Harvoni as a treatment for Hepatitis C. It sounded too good to be true. I was skeptical. So I decided to look up the medical studies and find the statistics. Using the tools at TreatmentScores.com I was able to find medical studies, pull out the statistics that matter and organize them. What I found is that the statistics are better for Harvoni for hepatitis C than for the old "Gold Standard" with interferon for hepatitis C, but remember to always consult your own licensed physician for diagnosis and treatment.


Remember, the URL for the Treatment Scores website and its tutorial is:
http://treatmentscores.com/tutorial.php
It's an educational experience that everyone should learn to do.

Price Transparency Websites:
4sightHealth
http://4sighthealth.com/

Clear Health Costs
http://clearhealthcosts.com/

Castlight Health
http://CastlightHealth.com

Clear Choices
http://www.clearchoicescampaign.org/

Clear Health Costs
http://clearhealthcosts.com/

Compared Care
https://www.facebook.com/comparedcare

Compass Professional Health Services
http://www.compassphs.com/

Costs of Care
http://www.costsofcare.org/

Estimedd
http://www.estimedd.com/

Fair Health Consumer
http://fairhealthconsumer.org/

Free Market Medicine
http://marketmedicine.org/

Free Market Health Group
http://www.freemarkethealthgroup.com/patients/

Guroo
http://www.guroo.com/

Health Care Bluebook
https://healthcarebluebook.com/

Health in Reach
https://www.healthinreach.com/search/

PriceMDs
https://www.pricemds.com/

Pricing Healthcare
https://pricinghealthcare.com/

SpendWell
https://www.spendwellhealth.com/

Surgery Center of Oklahoma
http://www.surgerycenterok.com/

DISCLAIMERS:
YOU MUST CONSULT  YOUR OWN LICENSED PHYSICIAN FOR DIAGNOSIS AND TREATMENT. USING TREATMENT SCORES CAN BE HARMFUL OR DEADLY. Treatment Scores, Inc. does not provide medical advice. We provide educational tools. We think patients need to learn to organize and rate the science of medicine behind treatments; we are NOT rating the treatments themselves. These are two different things. We help you review the medical literature and quantify the science of medicine behind treatments, but you cannot use this information to treat yourself or others. We make no claims about accuracy; we claim ZERO ACCURACY. IN FACT, WE CLAIM INACCURACY, because we are letting everyone use our tools, because the medical literature is complicated, errors, typos, misunderstandings, and because the medical literature is full of flaws. You must see your own licensed medical professional for diagnosis and treatment. We are an educational exercise, not medical guidelines. We are looking at the past medical literature; we cannot predict how treatments will work for you or anyone else going forward into the future. Choosing a treatment also involves clinical experience, making the right diagnosis, and knowing all about someone after a medical history, physical examination, and testing. Our tools cannot know these things. In addition, the medical literature can be wrong. We specifically DO NOT CLAIM to cure, treat, or prevent an illness or condition. Nor do our services provide medical advice or constitute a physician patient relationship. Contact your physician if you suspect that you are ill. Call emergency services (call 911 if available) or go to the nearest emergency room if an emergency is suspected. We are not responsible for any delays in care from using our website, or for any other reason. We are not responsible for any consequential damages of any nature whatsoever. We make no warranties of any kind in connection with the content of this post.