I think that tradeoffs between health risk and quality of life are very badly handled by the medial establishment. There tends to be a focus on avoiding the worst outcomes without evaluating small cumulative costs. Other examples that I’ve seen brought up are preemptively inserting IV ports (it’s just a needle, and it could save your life!) or flossing (healthy, but 2 minutes/day adds up).
On the one hand, I guess I should be supportive of medical policies that include any amount of rigorous statistics, even if it’s only for the easily quantified high-impact outcomes. However, it’s clear that including quality of life in risk assessment would save a lot of utility. I hope we see more studies trying to quantify the “this sucks” impact, especially for very invasive treatments like GFD.
Is there a way to access this without a substack subscription?