PubMed Central is vital for researchers and the public alike. Only through free access can everyone find out where the cutting edge of research lies. With access to the latest studies, patients and their families have a much-needed piece of the puzzle as they consider treatment options and potential outcomes.
It is possible in medicine, even when you intend to do good, to do harm instead. That is why science thrives on actively encouraging criticism rather than stifling it.
One of the things that made Epic strong when I wrote the original code was that it never occurred to me to do anything other than put the patient at the center. I developed a clinical system at a time when the health care world had pretty much only billing and lab systems available.
The doctors are always changing their opinions. They always have some new fad.
1st Earl Lloyd-George of Dwyfor
I believe you need scientific proof that something works before you entrust your health to it.
It is true that some off-label drug use is based on very unsettled science and has more risks. But medicine - and not just cancer care - involves lots of hard choices. And the more serious the disorder, often the more likely it is that for every right and wrong treatment choice there are many other practical decisions painted in shades of gray.
Good applied science in medicine, as in physics, requires a high degree of certainty about the basic facts at hand, and especially about their meaning, and we have not yet reached this point for most of medicine.
It is time for the scientific community to stop giving alternative medicine a free ride There cannot be two kinds of medicine — conventional and alternative. There is only medicine that has been adequately tested and medicine that has not, medicine that works and medicine that may or may not work. Once a treatment has been tested rigorously, it no longer matters whether it was considered alternative at the outset. If it is found to be reasonably safe and effective, it will be accepted.
I think what medical training does is it gives you the language, the tools to look up facts. I think medical training gives you a sense of how to approach a problem, how to look at symptoms and go down the list of what it might be.
Doctors most commonly get mixed up between absence of evidence and evidence of abense
After my cancer diagnosis this year, I was offered a choice of treatments. I wanted to make an informed decision. This meant reading scientific papers. Had I not used the stolen material provided by Sci-Hub, it would have cost me thousands.
We see healthcare shifting from a procedure reimbursement, where in this country doctors are reimbursed for how many procedures they conduct, to a world where people will be reimbursed for the outcomes - did the patient actually get better, and what was the total cost of the cycle of care.
Economics make homeopath and alternative healers look empirical and scientific.
I am as non-accepting of medical quackery and unscientific approaches as anybody else. I've grown up as a card-carrying scientist, and I know the power of science to answer questions, and for many questions I don't know of anything better than scientific approaches to answer them.
If you put me in charge of the medical research budget, I would cancel all primary research, I would cancel all new trials, for just one year, and I would spend the money exclusively on making sure that we make the best possible use of the clinical evidence that we already have.
There's a certain libertarian right-wing view that there should be no FDA, that people can decide for themselves whether medicines are safe and effective. That's nonsense. Most people don't have the expertise or the resources to mount a proper study to find out whether a treatment is safe or effective.
I have an obligation to use what I know to try to bring real, usable medical science to every doctor and bedside and patient.
Alternative therapists don't kill many people, but they do make a great teaching tool for the basics of evidence-based medicine, because their efforts to distort science are so extreme.
Were I disposed to consider the comparative merit of each of them [facts or theories in medical practice], I should derive most of the evils of medicine from supposed facts, and ascribe all the remedies which have been uniformly and extensively useful, to such theories as are true. Facts are combined and rendered useful only by means of theories, and the more disposed men are to reason, the more minute and extensive they become in their observations
The practice of physic [Medicine] is jostled by quacks on the one side, and by science on the other.
I do not ... reject the use of statistics in medicine, but I condemn not trying to get beyond them and believing in statistics as the foundation of medical science. ... Statistics ... apply only to cases in which the cause of the facts observed is still [uncertain or] indeterminate. ... There will always be some indeterminism ... in all the sciences, and more in medicine than in any other. But man's intellectual conquest consists in lessening and driving back indeterminism in proportion as he gains ground for determinism by the help of the experimental method.
Supported by digital data, new data-driven tools, and payment policies that reward improving the quality and value of care, doctors, hospitals, patients, and entrepreneurs across the nation are demonstrating that smarter, better, more accessible, and more proactive care is the best way to improve quality and control health care costs.
Most allopathic doctors think practitioners of alternative medicine are all quacks. They're not. Often they're sharp people who think differently about disease.
Experience stands on its own dunghill in medicine, and reason yields it place. Medicine has always professed experience to be the touchstone of its operations.
We need to work together to fairly assess and improve the long-term economic and health value - and affordability - of all components of the healthcare system, including hospitalizations, drugs, devices, and other interventions, to optimize our health investment decisions.