<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Megan McArdle Thinks I Should Pay $72,000 More for Breast Cancer</title>
	<atom:link href="http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/feed/" rel="self" type="application/rss+xml" />
	<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/</link>
	<description></description>
	<lastBuildDate>Fri, 15 Jul 2011 20:48:32 -0500</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.1.2</generator>
	<item>
		<title>By: sharonsj</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177961</link>
		<dc:creator>sharonsj</dc:creator>
		<pubDate>Thu, 30 Jul 2009 15:58:23 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177961</guid>
		<description>&lt;p&gt;Yeah, well I’m one of those people who believes in alternative treatments since none of the standard cancer treatments saved most of my relatives.  I saw four out of five die after suffering through radiation and chemo.  Only my mother made it through after dealing with a benign thyroid tumor, skin cancer, and a mastectomy.  &lt;/p&gt;
&lt;p&gt;However, I went without health insurance for seven years because I couldn’t afford it. Two years ago a government program paid for a mammogram, which showed a possible problem.  That same program paid to send me for more tests, during which I wondered what I would do if it turned out I had cancer.  I realized I would have to sell everything I owned, sell my house, put my pets to sleep, live in a Salvation Army hostel, and then see how long the money would last before I died anyway.  After all, if the sum total of my estate was $150,000, I figured that was good for maybe six months or less of treatment.  Given those choices, I would have stayed and home and learned how to cook macrobiotically.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Yeah, well I’m one of those people who believes in alternative treatments since none of the standard cancer treatments saved most of my relatives.  I saw four out of five die after suffering through radiation and chemo.  Only my mother made it through after dealing with a benign thyroid tumor, skin cancer, and a mastectomy.  </p>
<p>However, I went without health insurance for seven years because I couldn’t afford it. Two years ago a government program paid for a mammogram, which showed a possible problem.  That same program paid to send me for more tests, during which I wondered what I would do if it turned out I had cancer.  I realized I would have to sell everything I owned, sell my house, put my pets to sleep, live in a Salvation Army hostel, and then see how long the money would last before I died anyway.  After all, if the sum total of my estate was $150,000, I figured that was good for maybe six months or less of treatment.  Given those choices, I would have stayed and home and learned how to cook macrobiotically.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: marksb</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177948</link>
		<dc:creator>marksb</dc:creator>
		<pubDate>Thu, 30 Jul 2009 15:01:16 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177948</guid>
		<description>&lt;p&gt;Milly, I had a number of dear friends come to me with grave concern when I was diagnosed, telling me of the barbaric nature of chemo and radiation, and the various herbal and lifestyle “cures” they had heard of, how this person they knew or knew of had cured their cancer by using the tea, or solution, or tincture, or… They figured that since I was in my mid-fifties, a thirty-year health-food nut vegetarian, cool and groovy spiritual soul, and a 24 mile-a-week runner, I’d go with the groovy new-age formula. &lt;/p&gt;
&lt;p&gt;And I did research their suggestions, as well as the documented results of “traditional” (modern medical) treatments.&lt;/p&gt;
&lt;p&gt;I found a collection of quacks selling snake oil and people ranting against organized western medicine. I found a complete and total lack of actual research and a lot of he-said, she-said “reports”. And I found nothing, nothing at all, to back up the claims and boasts for the alternative “cures”.&lt;/p&gt;
&lt;p&gt;Meanwhile, I found detailed, peer-reviewed research using thousands of patients that backed up what my western medical professionals claimed. Before we started I went to UCLA for the worst medical experience of my life and completely rejected the so-called expert’s recommendation. I returned to my local cancer center and discussed the proposed treatment with my excellent and caring docs, as well as several experts across the country. &lt;/p&gt;
&lt;p&gt;In the end, I had to abandon a couple of dear friends because they would not shut up about their belief system-based healing regime and the evils of modern medicine. &lt;/p&gt;
&lt;p&gt;No mistake, the modern treatment regimes are deadly, horrible, and make us sicker than dogs. I hated it, but I threw myself into it with complete dedication. &lt;/p&gt;
&lt;p&gt;Two and a half years later I am healthy, cancer-free, running over 20 miles a week, and still cool and groovy. I have a nice scar on the side of my neck from stripping out my lymph nodes, a “second belly button” from my feeding tube, and my throat doesn’t work quite as nicely as it did before the radiation. But I’m alive.&lt;/p&gt;
&lt;p&gt;We make choices using our intelligence and the tools available. I really tried to find alternative therapies that would spare me medicine’s difficult treatments, but in the end, I had to go with what works. I think I’d be dead today, not heading for a nice five mile morning run and attending my ten-year old’s swim championships this weekend, if I’d listened to my friends and ignored medical research.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Milly, I had a number of dear friends come to me with grave concern when I was diagnosed, telling me of the barbaric nature of chemo and radiation, and the various herbal and lifestyle “cures” they had heard of, how this person they knew or knew of had cured their cancer by using the tea, or solution, or tincture, or… They figured that since I was in my mid-fifties, a thirty-year health-food nut vegetarian, cool and groovy spiritual soul, and a 24 mile-a-week runner, I’d go with the groovy new-age formula. </p>
<p>And I did research their suggestions, as well as the documented results of “traditional” (modern medical) treatments.</p>
<p>I found a collection of quacks selling snake oil and people ranting against organized western medicine. I found a complete and total lack of actual research and a lot of he-said, she-said “reports”. And I found nothing, nothing at all, to back up the claims and boasts for the alternative “cures”.</p>
<p>Meanwhile, I found detailed, peer-reviewed research using thousands of patients that backed up what my western medical professionals claimed. Before we started I went to UCLA for the worst medical experience of my life and completely rejected the so-called expert’s recommendation. I returned to my local cancer center and discussed the proposed treatment with my excellent and caring docs, as well as several experts across the country. </p>
<p>In the end, I had to abandon a couple of dear friends because they would not shut up about their belief system-based healing regime and the evils of modern medicine. </p>
<p>No mistake, the modern treatment regimes are deadly, horrible, and make us sicker than dogs. I hated it, but I threw myself into it with complete dedication. </p>
<p>Two and a half years later I am healthy, cancer-free, running over 20 miles a week, and still cool and groovy. I have a nice scar on the side of my neck from stripping out my lymph nodes, a “second belly button” from my feeding tube, and my throat doesn’t work quite as nicely as it did before the radiation. But I’m alive.</p>
<p>We make choices using our intelligence and the tools available. I really tried to find alternative therapies that would spare me medicine’s difficult treatments, but in the end, I had to go with what works. I think I’d be dead today, not heading for a nice five mile morning run and attending my ten-year old’s swim championships this weekend, if I’d listened to my friends and ignored medical research.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: milly</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177942</link>
		<dc:creator>milly</dc:creator>
		<pubDate>Thu, 30 Jul 2009 14:08:09 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177942</guid>
		<description>&lt;p&gt;Marcy…I am so sorry about your unfortunate experience with health care. &lt;/p&gt;
&lt;p&gt;Germany is so far ahead of US on cancer treatment. It is amazing how good health care can be when there is no profit to be made. They use inducing high fevers to allow the body to fight the cancer. No longer use chemo and radiation…which to me is as barbaric as leeches.&lt;/p&gt;
&lt;p&gt;Have you noticed how our elites… movie stars and politicians seem to live a lot longer with so called deadly cancer? Sen Kennedy is a good example. His son was cured with the Ojibway herbal formula Esiac.It cures , unlike AMA approved formulas which put you through hell on earth with no good statistics for serious cancer.&lt;/p&gt;
&lt;p&gt;Unfortunately with state media and a carefully controlled health care system …these cures are kept secret.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Marcy…I am so sorry about your unfortunate experience with health care. </p>
<p>Germany is so far ahead of US on cancer treatment. It is amazing how good health care can be when there is no profit to be made. They use inducing high fevers to allow the body to fight the cancer. No longer use chemo and radiation…which to me is as barbaric as leeches.</p>
<p>Have you noticed how our elites… movie stars and politicians seem to live a lot longer with so called deadly cancer? Sen Kennedy is a good example. His son was cured with the Ojibway herbal formula Esiac.It cures , unlike AMA approved formulas which put you through hell on earth with no good statistics for serious cancer.</p>
<p>Unfortunately with state media and a carefully controlled health care system …these cures are kept secret.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: gtomkins</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177939</link>
		<dc:creator>gtomkins</dc:creator>
		<pubDate>Thu, 30 Jul 2009 12:48:35 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177939</guid>
		<description>&lt;p&gt;Expensive equals invasive&lt;/p&gt;
&lt;p&gt;The point that emptywheel is making is just one aspect of a wider underlying truth, that medical interventions are expensive in proportion to how invasive they are.  If an intervention costs a lot of money, you can bet that its costs in human terms to the patient are also high in proportion, and, in absolute terms, much steeper.&lt;/p&gt;
&lt;p&gt;This simple truth should dispel concerns about the need to “ration health care” to control costs after we make it freely available.  You can make health care free of dollar cost to the patient, but you can never make it free of costs in terms of blood, sweat and tears.  The more expensive interventions are the ones that exact the highest prices in these human terms, and are therefore in no danger of being used except where the alternative of not using them is even worse.  &lt;/p&gt;
&lt;p&gt;Well, unnecessarily invasive treatments are in no danger of being used as long as the patient can exercise rational, informed, control over the decisions of what interventions to use.  Making health care universally available is only the first step in reform.  The next step is to put the patient in charge of his or her primary care provider, and primary care in charge of the welter of subspecialists.  That second step won’t happen just by making care universal, or even with the additional reform of getting the private insurance industry out of the way. But it can’t happen until and unless care is made universal by way of destroying the insurance industry.  The industry needs to stay in control if they are to continue to profit, and if the patient is to be put in control, this rival for control must be first destroyed.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Expensive equals invasive</p>
<p>The point that emptywheel is making is just one aspect of a wider underlying truth, that medical interventions are expensive in proportion to how invasive they are.  If an intervention costs a lot of money, you can bet that its costs in human terms to the patient are also high in proportion, and, in absolute terms, much steeper.</p>
<p>This simple truth should dispel concerns about the need to “ration health care” to control costs after we make it freely available.  You can make health care free of dollar cost to the patient, but you can never make it free of costs in terms of blood, sweat and tears.  The more expensive interventions are the ones that exact the highest prices in these human terms, and are therefore in no danger of being used except where the alternative of not using them is even worse.  </p>
<p>Well, unnecessarily invasive treatments are in no danger of being used as long as the patient can exercise rational, informed, control over the decisions of what interventions to use.  Making health care universally available is only the first step in reform.  The next step is to put the patient in charge of his or her primary care provider, and primary care in charge of the welter of subspecialists.  That second step won’t happen just by making care universal, or even with the additional reform of getting the private insurance industry out of the way. But it can’t happen until and unless care is made universal by way of destroying the insurance industry.  The industry needs to stay in control if they are to continue to profit, and if the patient is to be put in control, this rival for control must be first destroyed.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: chimpyissatan</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177938</link>
		<dc:creator>chimpyissatan</dc:creator>
		<pubDate>Thu, 30 Jul 2009 12:44:39 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177938</guid>
		<description>&lt;p&gt;Xargraw,&lt;/p&gt;
&lt;p&gt;I’m not a clinician, but I’m currently working on drugs for prostate and breast cancer, and have read some recent scientific literature on this topic. High dose estrogen treatment is indeed applicable in some settings, most notably in women previously exposed to antiestrogen treatments.  That would be the treatments so derided here (tamoxifen and DES, for example).  &lt;/p&gt;
&lt;p&gt;My understanding is that high dose estrogen is not a first line of attack because of the unacceptable side-effect profile when compared to selective ER modifiers.  The long-term effects of high levels of estrogen are unknown, and the acute effects are unequivocally associated with severe side effects not typically seen with pharmaceutical company-developed ER antagonists like tamoxifen or DES (death by thromboembolism and hepato-renal disease, for example).  I refer you to &lt;/p&gt;
&lt;p&gt;&lt;a href=&quot;http://jcem.endojournals.org/cgi/content/full/90/6/3688&quot; rel=&quot;nofollow&quot;&gt;http://jcem.endojournals.org/c...../90/6/3688&lt;/a&gt; &lt;/p&gt;
&lt;p&gt;as a starting point in the literature. Please consider that, as with all data in oncology, clinical trials examininng high dose estrogen AND selective estrogen receptor targeted drugs point the way to newer, better synthetic compounds that will reduce side effects and improve efficacy.&lt;/p&gt;
&lt;p&gt;Blind acceptance that Mother Nature knows best, and insistence on the least common denominator in cancer treatment (i.e., based on population statisics for survival) is, of course, anyone’s option.  I chose to err on the side of enlightenment and science. I can recommend a few good Hospices and funeral directors for those who chose otherwise.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Xargraw,</p>
<p>I’m not a clinician, but I’m currently working on drugs for prostate and breast cancer, and have read some recent scientific literature on this topic. High dose estrogen treatment is indeed applicable in some settings, most notably in women previously exposed to antiestrogen treatments.  That would be the treatments so derided here (tamoxifen and DES, for example).  </p>
<p>My understanding is that high dose estrogen is not a first line of attack because of the unacceptable side-effect profile when compared to selective ER modifiers.  The long-term effects of high levels of estrogen are unknown, and the acute effects are unequivocally associated with severe side effects not typically seen with pharmaceutical company-developed ER antagonists like tamoxifen or DES (death by thromboembolism and hepato-renal disease, for example).  I refer you to </p>
<p><a href="http://jcem.endojournals.org/cgi/content/full/90/6/3688" rel="nofollow">http://jcem.endojournals.org/c&#8230;../90/6/3688</a> </p>
<p>as a starting point in the literature. Please consider that, as with all data in oncology, clinical trials examininng high dose estrogen AND selective estrogen receptor targeted drugs point the way to newer, better synthetic compounds that will reduce side effects and improve efficacy.</p>
<p>Blind acceptance that Mother Nature knows best, and insistence on the least common denominator in cancer treatment (i.e., based on population statisics for survival) is, of course, anyone’s option.  I chose to err on the side of enlightenment and science. I can recommend a few good Hospices and funeral directors for those who chose otherwise.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Emily68</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177937</link>
		<dc:creator>Emily68</dc:creator>
		<pubDate>Thu, 30 Jul 2009 12:40:38 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177937</guid>
		<description>&lt;p&gt;I took tamoxifen for five years, starting when I was 44. The doc predicted correctly that it would induce menopause.  If I’d been younger, maybe my periods would have come back after I stopped taking it.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>I took tamoxifen for five years, starting when I was 44. The doc predicted correctly that it would induce menopause.  If I’d been younger, maybe my periods would have come back after I stopped taking it.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: MarkH</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177927</link>
		<dc:creator>MarkH</dc:creator>
		<pubDate>Thu, 30 Jul 2009 05:45:35 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177927</guid>
		<description>&lt;p&gt;Amazing stuff here.&lt;/p&gt;
&lt;p&gt;Do ya remember Dr. Jack Kevorkian, “Dr. Death”? I heard a speech of his one time where he talked about government interfering with medicine and how it had to stop. Well, the fact is medicine hasn’t been doing it’s job (researching what treatments work best) and we have to have government activism (just like the public option for health insurance) to do that job and get the medical profession onto the straight-and-narrow. There’s far too much corruption of medical practice due to money and only government can (try to) fix it.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Amazing stuff here.</p>
<p>Do ya remember Dr. Jack Kevorkian, “Dr. Death”? I heard a speech of his one time where he talked about government interfering with medicine and how it had to stop. Well, the fact is medicine hasn’t been doing it’s job (researching what treatments work best) and we have to have government activism (just like the public option for health insurance) to do that job and get the medical profession onto the straight-and-narrow. There’s far too much corruption of medical practice due to money and only government can (try to) fix it.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: xargaw</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177917</link>
		<dc:creator>xargaw</dc:creator>
		<pubDate>Thu, 30 Jul 2009 04:38:10 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177917</guid>
		<description>&lt;p&gt;Actually, they use high dozes of estrogen to shrink cancerous tumors prior to surgery or radiation. They use high doses of estrogen quite often in brain, spinal and prostrate tumors prior to treatment.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Actually, they use high dozes of estrogen to shrink cancerous tumors prior to surgery or radiation. They use high doses of estrogen quite often in brain, spinal and prostrate tumors prior to treatment.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: ThingsComeUndone</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177886</link>
		<dc:creator>ThingsComeUndone</dc:creator>
		<pubDate>Thu, 30 Jul 2009 01:58:59 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177886</guid>
		<description>&lt;p&gt;Agreed!&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Agreed!</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: ThingsComeUndone</title>
		<link>http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177885</link>
		<dc:creator>ThingsComeUndone</dc:creator>
		<pubDate>Thu, 30 Jul 2009 01:58:13 +0000</pubDate>
		<guid isPermaLink="false">http://emptywheel.firedoglake.com/2009/07/29/megan-mcardle-thinks-i-should-pay-72000-more-for-breast-cancer/#comment-177885</guid>
		<description>&lt;p&gt;Are the doctors collaborating with the drug companies to push new patent protected high cost drugs? I think this could be a great talking point.&lt;/p&gt;</description>
		<content:encoded><![CDATA[<p>Are the doctors collaborating with the drug companies to push new patent protected high cost drugs? I think this could be a great talking point.</p>
]]></content:encoded>
	</item>
</channel>
</rss>

<!-- Dynamic page generated in 0.476 seconds. -->
<!-- Cached page generated by WP-Super-Cache on 2012-02-17 21:10:38 -->

