Summer Reading B2G1 Free
 
 

Special Offers see all

Enter to WIN a $100 Credit

Subscribe to PowellsBooks.news
for a chance to win.
Privacy Policy

Visit our stores


    Recently Viewed clear list


    Original Essays | July 15, 2015

    Frank Wilczek: IMG You Are... Who?



    Writing a book is an unnatural act of communication. Speaking to a person, or even to an audience, is an interaction. Very different styles are... Continue »
    1. $20.97 Sale Hardcover add to wish list

    spacer
Qualifying orders ship free.
$3.50
Used Hardcover
Ships in 1 to 3 days
Add to Wishlist
Qty Store Section
1 Burnside Health and Medicine- Politics of Health Care

Powerful Medicines: The Benefits, Risks, and Costs of Prescription Drugs

by

Powerful Medicines: The Benefits, Risks, and Costs of Prescription Drugs Cover

 

Synopses & Reviews

Publisher Comments:

If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drug's safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.

This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.

In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation's drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?

Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry's own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible.

This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

Review:

"In this pragmatic volume, Avorn sets out an impressive plan for the American health care system to get helpful drugs to those who need them, protect patients from dangerous side effects and keep costs within reasonable limits. Avorn, chief of the division of pharmacoepidemiology and pharmacoeconomics at Brigham and Women's Hospital in Boston, argues, '[F]or a sum no greater than our current drug budget, medications could provide all Americans with the most productive and cost-effective interventions in all of health care.' Avorn claims, '[W]e waste billions of dollars a year on prescription drugs that are excessively priced, poorly prescribed, or improperly taken.' To remedy this situation, reform is needed in how new drugs are approved and marketed. In addition, practicing physicians need access to state-of-the-art information about new medications, including how well they compare to established (and often cheaper) products. Computer technology, Avorn shows, can bring together the latest information on treatment options and drug contraindications. But changes in the pharmaceutical industry itself — of which Avorn does not hold a flattering view — may be necessary to eliminate pressure to prescribe the most heavily advertised and costly new product when old standbys are equally effective. Though this informative and witty book is overly long, it makes a compelling case for prescription sanity and shows how constructive change can realistically be achieved." Publishers Weekly (Copyright Reed Business Information, Inc.)

Review:

"Cogent analysis....Marked by solid scholarship, measured criticism, and pithy comments: an informative and highly readable study that makes a significant contribution to the ongoing discussion of an important health care issue." Kirkus Reviews

Review:

"Avorn offers a selection of curative measures to help contain costs while increasing effectiveness. A comprehensive, interesting read." Booklist

Review:

"Avorn's coverage is thorough and his writing style engaging and even humorous. While accessible to lay readers, this title would also be an appropriate text for health sciences students. Highly recommended." Library Journal

Review:

"Only Jerry Avorn, with his insider's penetrating vision, could show us the triumphs and travesties, promises and perils of today's prescription drugs. Refreshingly, he not only diagnoses the ills of our current system but proposes novel remedies that we are well advised to heed." Jerome Groopman, M.D.

Review:

"In Powerful Medicines, Dr. Avorn brilliantly demonstrates the corrosive effects of commercial influence over medical research, education, and clinical care. This impressive book demonstrates the adverse effects such privatization can have on the health care system and ultimately on patients." Bernard Lown, M.D., Winner of the Nobel Peace Prize and Professor Emeritus, Harvard School of Public Health

Review:

"A book that is at once engrossing and definitive." Howard Gardner, Hobbs Professor of Education and Cognition Harvard Graduate School of Education

Book News Annotation:

Praised by Senator Edward Kennedy and others (including Nobel Peace Prize winner Bernard Lown), this book uses numerous case studies to demonstrate how pharmaceutical companies' marketing and research practices distort the process of balancing drug benefits, hazards, and cost which is meant to ensure that patients receive quality, affordable care. His recommendations for treatment include better use of technology, better patient education, and thorough comparisons of the effectiveness and safety of similar drugs.
Annotation 2004 Book News, Inc., Portland, OR (booknews.com)

Synopsis:

Based on Dr. Avorn's own pioneering studies of medication use as well as his 30 years of experience as a clinician, researcher, and educator, this timely and provocative investigation reports how prescription drugs are approved, priced, promoted, prescribed, and often misused.

Synopsis:

If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drugs safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.

This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.

In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nations drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?

Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industrys own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible.

This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

About the Author

Jerry Avorn, M.D., is an associate professor of medicine at Harvard Medical School and chief of the Division of Pharmacoepidemiology and Pharmacoeconomics at Brigham and Women's Hospital in Boston. An internist, geriatrician, and drug researcher, he is the author of more than two hundred papers in the medical literature on medication use and its outcomes, and one of the most frequently cited researchers in the fields of social science and medicine.

Product Details

ISBN:
9780375414831
Author:
Avorn, Jerry
Publisher:
Knopf Publishing Group
Author:
Avorn, Jerry Md
Author:
Jerry Avorn, M.D.
Location:
New York
Subject:
Drugs
Subject:
Administration
Subject:
Health Care Issues
Subject:
Pharmaceutical industry
Subject:
Prescription pricing.
Subject:
Industries - General
Subject:
Health and Medicine-General
Copyright:
Edition Number:
1st ed.
Edition Description:
Includes bibliographical references.
Publication Date:
August 2004
Binding:
HARDCOVER
Grade Level:
General/trade
Language:
English
Pages:
464
Dimensions:
9.40x6.66x1.42 in. 1.84 lbs.

Other books you might like

  1. Overdosed America: The Broken...
    Used Trade Paper $5.50
  2. The Truth about the Drug Companies:... Used Trade Paper $5.50
  3. Mama Might Be Better Off Dead: The... Used Trade Paper $5.50
  4. The Pill : The Untold Story of the... Used Hardcover $5.50
  5. Pricing the Priceless (02 Edition) Used Trade Paper $18.50
  6. Protecting America's Health: The... Used Trade Paper $7.95

Related Subjects

Health and Self-Help » Health and Medicine » General
Health and Self-Help » Health and Medicine » General Medicine
Health and Self-Help » Health and Medicine » History of Medicine
Health and Self-Help » Health and Medicine » Medical Specialties
Health and Self-Help » Health and Medicine » Politics of Health Care
Health and Self-Help » Recovery and Addiction » Drug and Alcohol Addiction

Powerful Medicines: The Benefits, Risks, and Costs of Prescription Drugs Used Hardcover
0 stars - 0 reviews
$3.50 In Stock
Product details 464 pages Alfred A. Knopf - English 9780375414831 Reviews:
"Publishers Weekly Review" by , "In this pragmatic volume, Avorn sets out an impressive plan for the American health care system to get helpful drugs to those who need them, protect patients from dangerous side effects and keep costs within reasonable limits. Avorn, chief of the division of pharmacoepidemiology and pharmacoeconomics at Brigham and Women's Hospital in Boston, argues, '[F]or a sum no greater than our current drug budget, medications could provide all Americans with the most productive and cost-effective interventions in all of health care.' Avorn claims, '[W]e waste billions of dollars a year on prescription drugs that are excessively priced, poorly prescribed, or improperly taken.' To remedy this situation, reform is needed in how new drugs are approved and marketed. In addition, practicing physicians need access to state-of-the-art information about new medications, including how well they compare to established (and often cheaper) products. Computer technology, Avorn shows, can bring together the latest information on treatment options and drug contraindications. But changes in the pharmaceutical industry itself — of which Avorn does not hold a flattering view — may be necessary to eliminate pressure to prescribe the most heavily advertised and costly new product when old standbys are equally effective. Though this informative and witty book is overly long, it makes a compelling case for prescription sanity and shows how constructive change can realistically be achieved." Publishers Weekly (Copyright Reed Business Information, Inc.)
"Review" by , "Cogent analysis....Marked by solid scholarship, measured criticism, and pithy comments: an informative and highly readable study that makes a significant contribution to the ongoing discussion of an important health care issue."
"Review" by , "Avorn offers a selection of curative measures to help contain costs while increasing effectiveness. A comprehensive, interesting read."
"Review" by , "Avorn's coverage is thorough and his writing style engaging and even humorous. While accessible to lay readers, this title would also be an appropriate text for health sciences students. Highly recommended."
"Review" by , "Only Jerry Avorn, with his insider's penetrating vision, could show us the triumphs and travesties, promises and perils of today's prescription drugs. Refreshingly, he not only diagnoses the ills of our current system but proposes novel remedies that we are well advised to heed."
"Review" by , "In Powerful Medicines, Dr. Avorn brilliantly demonstrates the corrosive effects of commercial influence over medical research, education, and clinical care. This impressive book demonstrates the adverse effects such privatization can have on the health care system and ultimately on patients." Bernard Lown, M.D., Winner of the Nobel Peace Prize and Professor Emeritus, Harvard School of Public Health
"Review" by , "A book that is at once engrossing and definitive."
"Synopsis" by , Based on Dr. Avorn's own pioneering studies of medication use as well as his 30 years of experience as a clinician, researcher, and educator, this timely and provocative investigation reports how prescription drugs are approved, priced, promoted, prescribed, and often misused.
"Synopsis" by , If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drugs safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.

This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.

In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nations drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?

Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industrys own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible.

This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

spacer
spacer
  • back to top

FOLLOW US ON...

     
Powell's City of Books is an independent bookstore in Portland, Oregon, that fills a whole city block with more than a million new, used, and out of print books. Shop those shelves — plus literally millions more books, DVDs, and gifts — here at Powells.com.