Have We Missed the Hidden Cause of Medical Overuse?

COMMENTARY

Have We Missed the Hidden Cause of Medical Overuse?

John Mandrola, MD

Disclosures

January 28, 2019

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Annual physical exams, nuclear stress tests for low-risk chest pain, echocardiography for benign palpitations—the list of low-value wasteful medical care is long.

Professional societies sanction wasteful practices by publishing ridiculously broad appropriate use criteria. [1] Government payers reward its beneficiaries with free low-value care, such as the "welcome to Medicare" exam

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