Health Speaker Shannon Brownlee Questions the Doctor's Orders in The Atlantic
"Patients only hear about one treatment option, the one the doctor usually uses—and doctors routinely assume they know what their patients want without actually asking them," the authors wrote, "and in many cases, the doctor is wrong."
The alternative, Brownlee proposes, is shared decision making. For those suffering from "preference-sensitive conditions" (such as back pain or arthritis where there are multiple treatments, none of which inherently better than the others), Brownlee believes there should be more dialogue between the doctor and the patient regarding how to treat the ailment. Looking at a number of studies on the subject, they found that "patients... tend to choose less invasive (and therefore less expensive) treatment options," than doctors do. This, they argue, is great news as it saves money on elective surgeries while still providing patients with viable treatment. The reason it has not been widely used in hospitals, as Brownlee has also argued in her book Overtreated, is because "the way we finance healthcare is set up to reward doing more, rather than doing good."
Heralded for her counter-intuitive solutions to healthcare issues, the acting director of the health policy program at the New America Foundation questions why physicians are so quick to provide medication and propose surgery, and argues that the fundamental flaw in our healthcare system is that we treat too often, which costs too much. In her talks, Brownlee provides viable alternatives to traditional healthcare methods that not only save money, but keep the country healthy, promote equal access to quality care, and address the systematic bloating of today's healthcare system.