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wkoszektoday at 6:55 AM4 repliesview on HN

All doctors say this, and that sort of drove me away from healthtech. As if there were absolutely no way to take a step in a direction of fixing it.

The faster and earlier we start to scan everyone regularly, as long as scanning methods aren't invasive, the more certainty we'll have what to warn people about and what not to tell them. Perhaps with the regular screening (imaging quarterly, if the scan is fast) you could see what is growing and what isn't.


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poilcntoday at 7:16 AM

Healthcare resources are very limited, you'd overwhelm it with lots of "yeah that's a defect, but 40% have it", things that would go away on its own, false positives, things that do not require urgent intervention, 10x increase of hypochondriacs and health deterioration caused by anxiety

You'd have a system where every resource is allocated for diagnostics, but no medical staff to treat it

Also a significant part of population avoids screening even if they are not required to paid anything from their pocket

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theparanoidtoday at 7:16 AM

The targeted scans and tests that we already do offer surprising little benefit.

Mammogram screening based on randomized-trial all-cause mortality, has not shown a measurable reduction in total deaths.

Randomized colonoscopy screening has not shown a statistically significant all-cause mortality reduction.

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KingMobtoday at 7:27 AM

It's more statisticians saying this, and not doctors per se. You run into issues of signal detection theory, false positives, and the lay confusion that Bayesian P(A|B) !== P(B|A).

You're right that we could take steps to fix it, but unfortunately, those steps involve mass education that every human body has anomalies, and many of those should just be ignored.

We'd get a wave of anxiety, lawsuits, and unnecessary interventions, until humanity collectively internalized this.

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camillomillertoday at 8:24 AM

This Silicon Valley mentality applied to a mechanistic view of the body is a fucking disgrace. This will fail, and luckily we won’t have to endure more of Silicon Valley’s dunning krueger on steroids about medical solutions. The Silicon Valley has NO CLUE of the complexity of clinical science, yet they hold this populistic view that everything can be foxed with tech and nothing stops the hybris. We all can see where that leads

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