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by jinpa_zangpo 1700 days ago
Here's an analogy originally from Pam Popper. You wouldn't go to a car dealership and buy the car that the dealer recommends. You study up on the models available and choose the one most appropriate for you. And even if you don't know much about the mechanics of cars, even how to change your oil, you probably do a pretty good job, at least better than choosing the car the dealer recommends. Yet the majority of people accept whatever treatment their doctor recommends without asking questions or doing any research on whether the treatment is appropriate. People can learn how to make independent medical decisions, just as they can learn how to buy a car for themselves.
2 comments

That's a terrible analogy. Within a general class of vehicles there are typically only a handful of available options. And competition means they're all pretty good. You're not going to go too far wrong buying, let's say, a Toyota RAV4 even if a Subaru Forester might be a better option.

And most consumers don't even bother to do much research before selecting a car. They buy the Toyota because they had one before and liked it, or their friend who knows about cars said it's reliable.

The last two drugs doctors put me on have contributed to my life being ruined for the past 5 years

I was given Tremfya, a biologic, for mild psoriasis. I've had a horrible reaction to it and it's exacerbated what used to be a minor autoimmune issue into something debilitating.

After autoimmune destroying my life, I was given Lexapro for anxiety which took my anxiety levels from like a 5 out of 10 to a 1000. Even after being off it for a year, I'm still really messed up and haven't gone back to pre-lexapro levels.

I was given gabapentin for neuropathic pain. It did nothing for my pain but now I have full body shivers and twitches and I have horrible withdrawal trying to get off gabapentin gradually.

Doctors push what the pharmaceutical companies tell them too.

Look into the effects of cipro and -floxin type antibiotics causing lifelong neuropathy.

My mother developed AVN from prednisone - causing her to need dual hip and dual shoulder replacements bc her reaction to the steroid caused her joints to turn necrotic.

Her lack of mobility and age has come with higher blood pressure.

Her blood pressure medication gave her gout.

"trust the experts"

Buying a car factors too much personal preference in to be analogous to diagnosing a particular issue. I think a better analogy would be when you go to a shop to get your car fixed. Depending how obvious the problem is you may be given a single obvious course of action or be given a list of possible problems and a review of possible solutions. If it's severe enough you may be inclined to ask for a second opinion from another shop just to be sure but you don't default to questioning automotive repair practices because you go and google how a transmission works that week. Not because the first mechanic you see is always right but because there are multiple people that spend their lives trying to figure these things out available to you and your best bet is to always try to leverage them not try to become one of the alternative experts overnight.