In contrast to our last post, this is Marc Siegel, writing in USA Today:
The flawed COURAGE trial ― published in 2007 in the New England Journal of Medicine and cited by critics claiming Bush was unnecessarily over-treated — attempted to demonstrate that cardiac stents don’t have an initial survival advantage. However, the study deliberately excluded patients with as severe a lesion as Bush. A 2008 landmark study recommended either stent or Coronary Bypass Surgery in patients with this kind of heart lesion.
The Affordable Care Act may be pushing us in the direction of one-size fits all medicine, but President Bush’s case demonstrates that a more personalized approach often still works the best. Hats off to his doctors in Dallas.
To which Aaron Carroll responded with this backlash:
[W]hat really set me off was the transition into an attack on the ACA. Here, Siegel is way off base. The ACA is not one-size-fits-all medicine. It says nothing about stopping people from getting the care they want. It says nothing about what private insurance can cover. If people want to buy insurance for stents that don’t meet criteria, go right ahead. If they want to pay for them themselves, go right ahead. The ACA does not prohibit insurance, or people, for covering or getting anything.
Wait a minute Aaron. Haven’t you been reading all of the things Zeke Emanuel (the doctor who helped give us ObamaCare) has been saying? ObamaCare is going to bring us evidence-based medicine. And doctors who don’t practice it are going to be penalized. “Personalized medicine is a myth,” Emanuel told CNN the other day. And even if it isn’t a myth, we can’t afford it.