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imtringued • today at 7:18 AM • 1 reply • view on HN

You don't seem to get it. There is no free lunch in medicine, because the human body and mind would have just discovered the free lunch during evolution and made it part of the bodies' natural healing process and daily routines.

This means all treatments have tradeoffs where you accept some damage to treat other damage and in the end you are mostly converting problems the human body can't deal with into problems the human body can fix on its own.

If you do an unnecessary treatment, you end up with a tradeoff with no benefits.

In the end everything has to follow a cost and benefit model


Replies

tempestn • today at 8:54 AM

I think I disagree with your base premise. Evolution isn't magic, and its existence doesn't mean that the human organism is perfect. Even if the process of evolution itself were perfect, for one thing it has nothing to say about the health of the organism after child-rearing is complete, whereas we probably care quite a bit what happens to us at that point.

There's also no reason to believe that every treatment has trade-offs. Many do, but the claim that every treatment necessarily causes some damage in order to treat other damage is provably false. The most straightforward example I can think of is treating something like a vitamin deficiency. But there are plenty of more significant treatments that don't do any appreciable harm while providing significant benefit. Removing a precancerous skin legion, for example.

All that said, my previous comment was not advocating for unnecessary treatments. It was advocating for taking all available information into account when deciding on a treatment plan (or lack thereof). The fact that many treatments involve trade-offs does not seem to me to be a counter-argument.