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Gizmo Idolatry - Poem by gershon hepner

Gizmo idolatry is why
a cardiologist will scan your heart.
Eventually we all must die,
but being gizmo-scanned before we part
helps us provide our doctors with
a method to campaign, they say, for health.
The gizmo idol is no myth,
since it provides them with a means for wealth.
Immutable as laws of Moses,
the grounds for stenting greed will rule,
in search for ocular stenosis
that is the goalpost of the gizmo ghoul.

Alex Berenson and Reed Abelson wrote inn the NYT on June 29,2008 (“Weighing the Cost of a CT Scan’s Look Inside the Heart”) :
Fees from imaging have become a significant part of cardiologists’ income — accounting for half or more of the $400,000 or so that cardiologists typically make in this country, said Jean M. Mitchell, an economist at Georgetown University who studies the way financial incentives influence doctors. Besides generating profits themselves, the scans enable cardiologists to find blockages in patients who have no symptoms of heart problems. Doctors can then place stents in patients who would not otherwise have received them, generating additional revenue of $7,500 to $20,000 per patient. While clinical trials have not shown that stents benefit patients with no symptoms of heart disease, they are still routinely inserted in such patients when tests find significant blockages. Cardiologists joke that the phenomenon is “ocular stenosis” — blockages that can be seen are stented. “You find a lot of asymptomatic disease, ” said John O. Goodman, a business consultant to cardiologists. “It will put more patients in the cath lab” — medical shorthand for a cardiac catheterization laboratory, where conventional angiograms and stenting procedures take place. Ms. Mitchell said cardiologists simply practice medicine the way the health system rewards them to. Given the opportunity to recommend a test for which they will make money, the doctors will. “This is not greed, ” she said. “This is normal economic behavior.”
Bruce Leff, an Associate Professor of Medicine at Johns Hopkins, responded on July 1,2008:
As a geriatrician and health services researcher, I believe that the demand for cardiac CT scans is a textbook example of gizmo idolatry, or the implicit conviction that a more technological approach is intrinsically better than one that is less technological. Factors in addition to faith in innovation and economic incentives for gizmo purveyors encourage their use and include the common-sense appeal of gizmo, use of the technology as proof of physician competence, and protection against claims of negligent care, to name but a few. The harms from gizmo idolatry are absolutely real: patients and the advancement of science are put at risk. Medicine, as a public trust, is tarnished. New regulation is urgently needed to require clear proof of benefit before cardiac CTs and other gizmos are widely disseminated. Bruce Leff, Baltimore, June 29,2008.


7/1/08


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Poems About Greed

  1. 1. Gizmo Idolatry , gershon hepner
  2. 2. Economic Turns , Bob Gotti
  3. 3. The Story Of My Life , Ace Of Black Hearts
  4. 4. No Notice: : >>) , Is It Poetry
  5. 5. Poems About. , Mahfooz Ali
  6. 6. You Too , Francis Duggan
  7. 7. 'Reflections Of Christmas Past' , Linda Winchell
  8. 8. Obamalust , Lawrence S. Pertillar
  9. 9. A Far Greater Threat , Francis Duggan
  10. 10. Due To Our Lust For Money , Francis Duggan
  11. 11. Residence Of....Hypocrisy, Greed & Deceit , (brief renderings) Joe Fazio
  12. 12. My Is Name The Maniac , vincent armone
  13. 13. Poem From A Dream , Patti Masterman
  14. 14. When Will They Wake Up To See , Lawrence S. Pertillar
  15. 15. They'Re Laughing.... , delilah contrapunctal.... ye ..
  16. 16. Figments Of Creative Imagination , Lawrence S. Pertillar
  17. 17. Cheapness Fed The Greed , Lawrence S. Pertillar
  18. 18. Greed , Nassy Fesharaki
  19. 19. War Poet , Tom Zart
  20. 20. Throw Them Out , Lawrence S. Pertillar
  21. 21. Those Of The Crumpets And Tea Party , Lawrence S. Pertillar
  22. 22. Don’t Undermine Fear. , Rm.Shanmugam Chettiar.
  23. 23. Lust Is Satan , Rm.Shanmugam Chettiar.
  24. 24. Greedy , Naveed Akram
  25. 25. Without The Money , Lawrence S. Pertillar
  26. 26. Giving Options Prevents That , Lawrence S. Pertillar
  27. 27. Lips Of Greed , Lawrence S. Pertillar
  28. 28. Because I Am The Giver Then I Am Inexhau.. , RIC S. BASTASA
  29. 29. Nurtured Crops , Lawrence S. Pertillar
  30. 30. Enough Is Enough , David Harris
  31. 31. To Prove Pointless Ends , Lawrence S. Pertillar
  32. 32. When The Money Is Right , Lawrence S. Pertillar
  33. 33. With Wishes To Erase Reality , Lawrence S. Pertillar
  34. 34. Haunted , Lawrence S. Pertillar
  35. 35. Gm Battle Earth Began In Eden , Terence George Craddock (Spe ..
  36. 36. My Wish Is For A Perfect World , Francis Duggan
  37. 37. Drawing A Line , Pradip Chattopadhyay
  38. 38. The hunter's trap - By POET Yaser Nadeem.. , MOHAMMAD SKATI
  39. 39. Developer's Greed , RoseAnn V. Shawiak
  40. 40. Sankara , Edward Kofi Louis
  41. 41. What Is Wished , Lawrence S. Pertillar
  42. 42. Dogs, Cats, And Donkeys Are Delicious Me.. , MOHAMMAD SKATI
  43. 43. Enough Money Spent On Wars , Terence George Craddock (Spe ..
  44. 44. Stop Trying To Find The Logic In Everyth.. , Lawrence S. Pertillar
  45. 45. I Appreciate Their Teachings , Lawrence S. Pertillar
  46. 46. Revolving Debit - Cul-De-Sac Acrostic .. , Jonathan ROBIN
  47. 47. To Put Down With One-Up-Manship , Lawrence S. Pertillar
  48. 48. Faith, Greed & Love , Tom Zart
  49. 49. Reasons To Discuss , Lawrence S. Pertillar
  50. 50. Much Always Wants More , Francis Duggan
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