Response to Hanson's Response On Health Care
Scott then quotes 500 words from a 2022 post of mine, none of which have me saying all medicine is useless on all margins. Even so, he repeats this claim several times in his post. If Scott had doubts, he could have asked me. Or, consulted our 2016 book The Elephant in the Brain (52K copies sold; I’m sure he knows of it):
» “Our ancestors had reasons to value medicine apart from its therapeutic benefits. But medicine today is different in one crucial regard: it’s often very effective. Vaccines prevent dozens of deadly diseases. Emergency medicine routinely saves people from situations that would have killed them in the past. Obstetricians and advanced neonatal care save countless infants and mothers from the otherwise dangerous activity of childbirth. The list goes on. …
» “We will now look to see if people today consume too much medicine. … we’re going to step back and examine the aggregate relationship between medicine and health. … We’re also going to restrict our investigation to marginal medical spending. It’s not a question of whether some medicine is better than no medicine—it almost certainly is—but whether, say, $7,000 per year of medicine is better for our health than $5,000 per year, given the treatment options available to us in developed countries.…
