Doctor Alan Moelleken, MD Cottage Hospital, Santa Barbara

Specialty Medical Degree Internship Residency Fellowship Board Certification Affiliations Office Spine treatment; Orthopedic surgery University of Pennsylvania School of Medicine Orthopedic surgery, UCLA Orthopedic surgery, American Board of Orthopaedic Surgery

Surgery, UCLA Spine surgery; Neurosurgery, New York University

American Academy of Orthopaedic Surgery; North American Spine Society 401 East Carrillo St., Santa Barbara (805) 563-0998

Website

www.spineandorthocenter.com

Criticism of modern medicine

According to Paul Farmer, the main problem for modern medicine is lack of access in poor regions. There is an "outcome gap" between the rich and poor that is most noticeable with expensive-to-treat diseases like AIDS and tuberculosis. The majority of medical resources and therapies are concentrated in the rich, low-incidence regions such as the West. On the other hand, countries in the developing world have high rates of HIV but lack the necessary resources to treat them.
[15]

Medical errors and overmedication and other forms of iatrogenesis (harms caused by medical treatment) are also the focus of complaints and negative coverage. Practitioners of human factors engineeringbelieve that there is much that medicine may usefully gain by emulating concepts in aviation safety, where it is recognized that it is dangerous to place too much responsibility on one "superhuman" individual and expect him or her not to make errors. Reporting systems and checking mechanisms are becoming more common in identifying sources

of error and improving practice. Clinical versus statistical, algorithmicdiagnostic methods were famously examined in psychiatric practice in a 1954 book by Paul E. Meehl, which found statistical methods superior.
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A 2000 meta-analysis comparing these methods in both

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psychology and medicine found that statistical or "mechanical" diagnostic methods were, in general, although not always, superior. controversy.
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Disparities in quality of care given among local demographics are often an additional cause of For example, elderly mentally ill patients received poorer care during
[18]

hospitalization in a 2008 study.

Rural poor African-American men were used in an infamous

study of syphilis that denied them basic medical care.

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