I agree that preventive medicine is more than promoting healthy habits, but a key is early and accurate diagnosis of patient's real illnesses. I think incremental costs of diagnosis will be paid for by lower cost of earlier treatment.
[OT] I encountered a case of “over-diagnosis” (see #msg-32745982) while working out at the gym last night.
The gym recently upgraded its fire-alarm system at considerable cost. The new system has alarm boxes everywhere that are hard-wired to the Fire Department.
What happened last night was that a hard-hit tennis ball hit one of the alarm boxes and set off the alarm. The tennis players came out and let everyone know what happened, but to no avail: once activated, the alarm can be turned off only by the Fire Department. In the meantime, the excruciatingly loud noise caused almost everyone to clear the premises. (I had 29-db earplugs handy, so I continued to work out.)
The firemen arrived in 18 minutes (what if there had been a fire?), and one of them entered a code to shut off the alarm. This is progress?
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