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'You do not ask a barber if you need a haircut.' Most people have heard this expression or something similar. Yet we willingly allow our doctors to subject us to various diagnostic investigations and treatments which may be financially beneficial for themselves. Healthcare is riddled with financial conflicts of interest, and even when your doctor does not directly benefit, there are many other reasons you should be on the alert. In good faith, doctors use many treatments which do not work, and since all treatments will cause harm to some patients, doctors do harm to many people.

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Book Title: Survival in an Overmedicated World: Look Up the Evidence Yourself
Book Author: Peter Gøtzsche
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Survival in an Overmedicated World: Look Up the Evidence Yourself by Peter Gøtzsche Book Review

Name: Robert A. Yoho
Rating: 5.0 out of 5 stars
Title: Dr. Gotzsche is a hero.
Date: Reviewed in the United States on January 8, 2020
Review: He is the best source of information about the worldwide medical industry’s corruption. Since the corporations took over, patients’ wellbeing is almost forgotten; they are being gardened and harvested for their health insurance dollars like they were crops on a farm. Hospitals, drug companies, and senior doctors on the industry payola are all at the feeding trough and dictate every move according to profitability. The system pays these ‘providers’ handsomely for almost anything they dream up, whether it works or not.
Our insurance premiums are through the roof, but we still risk financial disaster every time we get sick. Half of our overdue debt is from medical bills. This ruins forty-three million of our credit reports and is the top reason for US personal bankruptcies.
Financial hardships are the least of our problems. We are being broken on a torture-wheel of toxic medications and ill-advised procedures. Risky surgeries are performed solely for profit—many have no more scientific support than a bar stabbing. Angioplasty and coronary artery bypass heart surgery are immense, predatory industries; their victims face complications and sometimes death; after the expense and risk, only a few survive a single day longer. Most back surgeries and endoscopic knee surgeries for arthritis are equally worthless.
America has become a nation of pill poppers. A whopping 70% of us take prescriptions, and 20% use five or more, according to the Mayo Clinic. Ineffective psychiatric drugs cause irreversible brain damage and early death for millions. Doctors now give opioids to people with self-limited pain, and many get addicted; 50,000 die each year. Of all medications used, over 50 percent are useless, nearly useless, or bad for you. The studies required for their approval were purposefully mangled by their makers. Half of the rest of medicine does not work, either.
WebMD, Wikipedia, and other online sources are our knowledge sources. They radiate certainty but are shilling for the corporations. Even medical journals are now almost wholly written and overseen by the industry and their bought-off editors. These, like the websites, authoritatively broadcast misinformation and pseudomedicine.
This is the wreckage remaining after we allowed industrialized medicine to snowball into a pandemic of fraud.
Dr. Gotzsche’s book and his others tell the story. They are backed by hundreds of references per book. These messages should be common knowledge, but they are being obscured by counter-narratives advanced by the industry.

Name: MeTZelf
Rating: 3.0 out of 5 stars
Title: Look it up yourself.
Date: Reviewed in the United States on July 28, 2020
Review: Gøtzsche posits that most medical literature is unreliable. He espouses searching for the reliable literature on the Internet. Surprisingly, he recommends Wikipedia (I concur) as a good place to start, although it is not always completely right. Another good site is McMaster. Unsurprisingly he expresses a lot of faith in publications of the Cochrane Institute of which he is a co-founder. At the time of this review there is an international scandal regarding Gøtzsche and Cochrane.

Suspicious is anything not based on randomized trials according to Gøtzsche. He makes a valiant attempt at leading us through the steps on Google to find those. Unfortunately his well-meaning advice isn't much use. We don't need Gøtzsche to use Google. His arguments for acceptance or rejection of articles on PubMed seem ad hoc. He almost always rejects them. Gøtzsche recommends that non-English speakers use Google's translate function. It is true that mechanical translation has greatly improved since its early days of sidesplitting gibberish, but it is still not good enough to allow your life to depend on it. Besides, without feeding in the correct terms in English, you won't find the page you need to translate. Today the language of science is English.

In this book Gøtzsche repeats his position that screening for breast and prostate cancer is not only useless but harmful. Yet he endorses screening for cervical cancer. Does he mean pap smears? If screening for breast and prostate cancer is more harmful than beneficial, then surely the same applies to screening for cervical cancer, a rare disease? He also endorses screening for colon cancer by colonoscopy. Could this advice have something to do with the detailed story in a different chapter about his personal experience with colon obstruction by a tumor? Surely routine colonoscopy in symptom-free individuals is as harmful as routine mammography?

He also repeats his position that psychiatric drugs should never be used except for acute and serious mental confusion, and even then they should be phased out quickly. He doesn't define acute, serious, mental, confusion, or quickly. He also doesn't quote randomized research comparing the benefit of psychiatric drugs in situations of acute and serious mental confusion, whatever that is, to non-drug interventions such as safe shelter. He warns never to take anti-epileptic drugs unless you have epilepsy. Surely he is not saying that epilepsy immunizes against their toxicity or that the lives of people with epilepsy don't matter? Perhaps he means that regarding epilepsy the benefits outweigh the horrible harms? If so, why does he not point out large-scale randomized double-blinded trials to back it up? I googled the terms anti-epileptics and Cochrane like Gøtzsche recommends and found one relevant article. It reveals that about 30% of patients will continue to have seizures in spite of the treatment. But in how many of the other 70% would the seizures have resolved without drugs? He should have added that regardless of one's diagnosis abruptly stopping anti-epileptics, like abruptly stopping psychiatric drugs which in reality belong to the same class, is extremely dangerous. It can cause seizures even in people who have never had them before in addition to a host of other withdrawal phenomena.

A topic Gøtzsche did not cover in his earlier books is vaccines. He opposes the HPV vaccine because its safety and efficacy have not been demonstrated. He criticizes a US healthcare facility for firing an employee who refused to take a flu shot even though there is no evidence that flu shots in healthcare workers protect patients. According to Gøtzsche the employee’s human rights were violated. Yet he does not seem concerned about the human rights of parents who are reluctant to have their children vaccinated. He calls them irrational and untreatable. He calls Andrew Wakefield's research on the connection between the MMR vaccine and autism lies. That's a personal attack rather than a discussion of the arguments. Gøtzsche doesn't mention the link that has been suggested between autism and thimerosal, a mercury-based product that used to be used as a preservative in vaccines. This omission is all the more remarkable as elsewhere in the book he complains about the unreliability of modern, electronic fever thermometers. Old-fashioned mercury thermometers always worked perfectly but have been banned because of a theoretical harm from the mercury when the thermometer breaks. If mercury is so dangerous that we are all condemned to substandard thermometers, doesn't it make sense that injecting mercury into little babies is a bad idea? The drug companies have quietly dropped thimerosal but who knows what they will put in the ampules next. In fact, Gøtzsche too states that the unreliability of the pharma industry is a valid argument for being suspicious of vaccines.

For the sake of brevity not every subject in the book will be reviewed here, such as Gøtzsche's views on diet and alternative medicine. Let's skip to his political recommendations. The first is to modify drug patents. That is not likely to happen in his or my lifetime for reasons he describes in his book Deadly Medicines and Organised Crime. His other proposal is changing the way research and watchdog agencies are funded. He would have this done entirely by the government instead of mostly by the medical industry. Since when is government incorruptible?

In summery, we here at MeTZelf are extremely pleased with most of Gøtzsche's messages in this book. We agree that healthcare decisions should be made by the person him/herself though we go much further than Gøtzsche in that. We also agree that every citizen should be medically educated. Gøtzsche proposes to start learning while one is still young and healthy. Our position is that medical education should be part of the curriculum of all high/middle (whatever it's called in your country) school students. By this we don't mean learning long lists of Latin nomenclature by heart, but rather learning about the body's functioning and what can go wrong with it. There is no reason why adolescents cannot learn this alongside languages, history, sciences, and whatever else they are taught, just as university medical students do. And we wholeheartedly support the abolition of drug patents.

The reviewer is a board member of MeTZelf.