Americans spend more than $300 billion a year on prescription drugs. The most prescribed single drug in America, Vicodin, is prescribed 131 million times a year.
The entire population of America, every man, woman and child, is only about 330 million. Can you even begin to imagine how much Vicodin is being prescribed?
Most of the top 10 drugs are not painkillers like Vicodin. They are drugs to combat hypertension, high cholesterol and diabetes. Each one is prescribed tens of millions of times a year in America, according to a study by the IMS Institute for Healthcare Informatics. The next most prescribed drug after Vicodin, for example, is Zocor, a statin drug for high cholesterol.
In the commercials for cholesterol drugs, the actor usually says something like this: "I exercise. I eat right. But my cholesterol is still too high. So I asked my doctor about Baboozostatin."
How does this compare to real life? Ask your friends. You'll find it easy to collect stories of people whose doctors are quick to push cholesterol drugs on them without making more than a cursory effort to get them to lower their cholesterol through diet and exercise.
Maybe this is okay. Maybe we need to accept the fact that most people these days are working longer hours, spending more time in traffic, eat drive-up food in the car to save time, and the only way they can reasonably be expected to lower their cholesterol is through a magic pill. I spend so much time parked at a computer it's a tribute to my genes I retain any semblance of human form.
But the fact is that any commercial featuring a guy with a mountain bike who trusts his heart to Baboozostatin isn't consistent with the common profile of people who take pills for their bloodstream.
It's also a fact that drug companies work very, very hard to tell doctors what their drugs can do while relegating the harm they can do to such long and sweeping laundry lists of possible side effects that the common human reaction to the contraindications is to laugh.
What needs to happen is for more arbiters of honest information and fair judgment to single out the risks that are most serious and most widespread, such as the increasing number of commonly used medicines that damage your liver and pancreas.
My doctor knows more about medicine than I do, but I know more about mass communications and image-shaping than my doctor does, and when I see a poster on a hospital room that says "You have a right to be free of pain," I know this document was paid for by, or inspired by, a pharmaceutical company pushing painkillers. I mean, where does it say that being free of pain is a right? I didn't read it in the Constitution. It's not in the Bible, the Torah or the Koran.
The mere concept is misleading, because being free of pain is not free. If you're dying and in excruciating pain, the cost of being free of pain may be to be given drugs so strong you lose your sense of loved ones in the room long before you lose your life. Is that even what you want? And what about people with mild pain that is more readily controlled? Did you know that prolonged use of anti-inflammatories like Advil can damage your liver and pancreas?
One reason for the more widespread prescribing of drugs to control blood sugar, blood pressure and cholesterol is that in each of these three cases the medical profession has moved the goalposts, choosing lower readings to call "desireable" - the word used to be "normal" - a decision which may be medically sound or not but which undeniably moves tens of millions of America from "normal" readings to readings that are "too high." This may contribute to the feeling that a problem, even if it would not have been regarded as a problem a generation ago, needs treatment with drugs.
In recent months, probably as a result of more protracted sedentary hours trying to cover the vagaries of the economy, my own blood sugar rose a lot, and I was given some comparatively mild pills to treat it, along with dietary instruction. It has been quite a fight, not because my condition is intractable, but because time and work responsibilities have made it difficult to stay on a regimen. Still I have worked at it, and my numbers are better. I bring it up, though, because of something odd I discovered. The kind of food I eat seems to affect the blood sugar more than the pill does. The key is to eat unprocessed food. The blood sugar spikes at fast food. Put a piece of lettuce on a sandwich and it goes down. It's as if the body functions more normally when you make it work a little to digest whatever you've consumed. And the effect works even if I forget the pill.
This is a good place to say, never take medical advice from a blogger.
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