What do you do when the medical experts disagree? Should you have that PSA screening, or mammogram? Should you really be taking statins — and what about vitamins? On these and many other medical issues, consensus is hard to come by; individuals end up weighing the benefits and risks.
Jerome Groopman (more here) and Pamela Hartzband have written a book to address this conundrum, called Your Medical Mind: How to Decide What Is Right For You. The authors are both Harvard physicians, and they are also married to each other. To write the book, they interviewed a variety of patients with different medical problems, including those from various socioeconomic, religious, and cultural backgrounds. Along the way, the authors identified all sorts of different mindsets — proactive vs. passive, “believers” vs. “doubters,” and so on. They synthesize what they learned into a framework meant to help any one person try to figure out what’s the optimal treatment. Along the way, the authors ask a variety of tricky, compelling questions: how much autonomy do people really want in making treatment choices? How to deal with the regret of making a choice that turns out to be ineffective? Why do “living wills” so frequently fail to predict a patient’s actual end-of-life desires?
Groopman and Hartzband have greed to field questions from Freakonomics readers, so fire away in the comments section. As always, we will post their replies in short course. Here, to prime the pump, is the table of contents from Your Medical Mind:
- WHERE AM I IN THE NUMBERS?
- BELIEVERS AND DOUBTERS
- BUT IS IT BEST FOR ME?
- NEIGHBORLY ADVICE
- AUTONOMY AND COPING
- DECISION ANALYSIS MEETS REALITY
- END OF LIFE
- WHEN THE PATIENT CAN’T DECIDE
This post is no longer accepting comments. The answers to the Q&A can be found here.