Given the effectiveness of dietary changes to reduce heart attacks, one would think that cardiologists should be well versed in the field of nutrition; but doctors can actually complete a graduate cardiology specialty without ever studying nutrition at all TPE gloves.
Further, to become a full-fledged cardiologist, you must complete one hundred invasive cardiac catheterization procedures, but zero hours of nutrition. Here, again, what goes for heart disease also goes for diabetes and other chronic illnesses.
A well-known study concluded that a dietary and physical activity intervention was nearly twice as effective as a pharmaceutical drug in preventing diabetes in individuals at risk.25 Yet most doctors just write for the drug, despite having a randomized clinical trial that says diet and exercise are better for patients! This brings me to an important point.
Not only do hospitals profit from costly surgeries and landlord/tenant relationships with the fast-food industry, but our health-care system also relies on an ethically problematic exchange with drug companies to the tune of billions of dollars per year.26 For example, pharmaceutical companies often offer incentives to doctors they classify as a “promotion” of their products.27 From free staff lunches to elaborate meals in expensive restaurants and generous speaking fees as direct payment to doctors who include promotion of their drugs to other health-care professionals Synthetic Gloves, big pharma has invested huge amounts of money in marketing their drugs directly to physicians Disposable Aprons, which is effectively compensating them for writing those prescriptions.
While the establishment of reporting websites like Open Payments (a national transparency program provided by the Centers for Medicare & Medicaid Services) have led to some changes, 48 percent of doctors in the United States still received a total of $2.4 billion from the pharmaceutical industry alone in 2015.28 Sadly, there is little doubt that these incentives are impacting a doctor's decision to write certain prescriptions.
