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	<title>Comments on: The business of prostate cancer: putting profit before patients</title>
	<atom:link href="http://ethicalnag.org/2009/12/20/profit-before-patients/feed/" rel="self" type="application/rss+xml" />
	<link>http://ethicalnag.org/2009/12/20/profit-before-patients/</link>
	<description>Marketing Ethics for the Easily Swayed</description>
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		<title>By: Carolyn Thomas</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-29784</link>
		<dc:creator><![CDATA[Carolyn Thomas]]></dc:creator>
		<pubDate>Mon, 12 Mar 2012 12:51:36 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-29784</guid>
		<description><![CDATA[Hello Rozier - very odd.  I found a number of used books available for sale online (Amazon, Abe Books) but the prices are crazy ($80-120 - for a &lt;strong&gt;used book&lt;/strong&gt;!)  Why don&#039;t you consider submitting your own customer review on Amazon? 

I hope Dr. Horan does consider releasing another edition.
Stay healthy!
regards,
C.]]></description>
		<content:encoded><![CDATA[<p>Hello Rozier &#8211; very odd.  I found a number of used books available for sale online (Amazon, Abe Books) but the prices are crazy ($80-120 &#8211; for a <strong>used book</strong>!)  Why don&#8217;t you consider submitting your own customer review on Amazon? </p>
<p>I hope Dr. Horan does consider releasing another edition.<br />
Stay healthy!<br />
regards,<br />
C.</p>
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		<title>By: Rozier</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-29765</link>
		<dc:creator><![CDATA[Rozier]]></dc:creator>
		<pubDate>Mon, 12 Mar 2012 06:45:51 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-29765</guid>
		<description><![CDATA[I was diagnosed 7 years ago with a Gleason 9 (4 plus 5), which to date has not been treated at all.  I&#039;ve done the prerequisite scans, MRSI&#039;s, Color Dopplers, PSA&#039;s etc,,,,but no further biopsies(believe they can be very harmful to my health,,,,sepsis and all.  And to date I am doing very well, but PSA is a bit high and of some concern.

Some 2 years ago I purchase my first copy of &lt;em&gt;The Big Scare&lt;/em&gt; by Dr. Horan; subsequently purchased many more that I present to members of our local support groups.  This book gave me confidence of my strategy to basically ignore this disease, first because I had long believed that treatment was of zero or almost zero value, and 2nd that even without treatment my chance of surviving this disease long enough to expire from some other disorder was close to 80 plus percent and I would rather enjoy an excellent QOL for my remaining years and not to be incontinent and impotent; additionally not wish to die from some treatment related morbidity such as surgery related or hormone related complication.

Now I find that the book &lt;em&gt;The Big Scare&lt;/em&gt; is no longer available except at extremely high used pricing and too that the &lt;em&gt;Kindle&lt;/em&gt; version (was available for a short time as such) was unavailable.

Did Dr. Horan step on a few too many toes, was he bought off or just what?   Any ideas from anyone as to why this very important book is gone?  The facts and statistics were outstanding in presenting information that was not available in any other book that I have read... and I&#039;ve read them all, ranging from Dr. Sturm&#039;s to Scholz&#039;s, to Scardino and Walsh.

I&#039;ve called Dr. Horan.  He was extremely polite but non-responsive as to my query as to if there would be a re-print of the book.

Another point of interest was that most all books had numerous reviews on Amazon, but this book in 2 years only engendered 3 reviews.  What is this all about?

Any comments or information would be welcome.]]></description>
		<content:encoded><![CDATA[<p>I was diagnosed 7 years ago with a Gleason 9 (4 plus 5), which to date has not been treated at all.  I&#8217;ve done the prerequisite scans, MRSI&#8217;s, Color Dopplers, PSA&#8217;s etc,,,,but no further biopsies(believe they can be very harmful to my health,,,,sepsis and all.  And to date I am doing very well, but PSA is a bit high and of some concern.</p>
<p>Some 2 years ago I purchase my first copy of <em>The Big Scare</em> by Dr. Horan; subsequently purchased many more that I present to members of our local support groups.  This book gave me confidence of my strategy to basically ignore this disease, first because I had long believed that treatment was of zero or almost zero value, and 2nd that even without treatment my chance of surviving this disease long enough to expire from some other disorder was close to 80 plus percent and I would rather enjoy an excellent QOL for my remaining years and not to be incontinent and impotent; additionally not wish to die from some treatment related morbidity such as surgery related or hormone related complication.</p>
<p>Now I find that the book <em>The Big Scare</em> is no longer available except at extremely high used pricing and too that the <em>Kindle</em> version (was available for a short time as such) was unavailable.</p>
<p>Did Dr. Horan step on a few too many toes, was he bought off or just what?   Any ideas from anyone as to why this very important book is gone?  The facts and statistics were outstanding in presenting information that was not available in any other book that I have read&#8230; and I&#8217;ve read them all, ranging from Dr. Sturm&#8217;s to Scholz&#8217;s, to Scardino and Walsh.</p>
<p>I&#8217;ve called Dr. Horan.  He was extremely polite but non-responsive as to my query as to if there would be a re-print of the book.</p>
<p>Another point of interest was that most all books had numerous reviews on Amazon, but this book in 2 years only engendered 3 reviews.  What is this all about?</p>
<p>Any comments or information would be welcome.</p>
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		<title>By: Royale</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-7255</link>
		<dc:creator><![CDATA[Royale]]></dc:creator>
		<pubDate>Sat, 09 Oct 2010 03:55:44 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-7255</guid>
		<description><![CDATA[&lt;em&gt;&quot;PSA-based screening reduced the already low rate of death from prostate cancer by 20%, but was also associated with a high risk of overdiagnosis and overtreatment.&quot;&lt;/em&gt;

That makes it sound like these researchers are saying a 20% reduction in death rate is not considered significant!?  Anti-screening advocates like this author have a long way to go to win the PR war waging over the benefits of early detection - much like the breast cancer awareness movement that urges the equally controversial screening mammograms.]]></description>
		<content:encoded><![CDATA[<p><em>&#8220;PSA-based screening reduced the already low rate of death from prostate cancer by 20%, but was also associated with a high risk of overdiagnosis and overtreatment.&#8221;</em></p>
<p>That makes it sound like these researchers are saying a 20% reduction in death rate is not considered significant!?  Anti-screening advocates like this author have a long way to go to win the PR war waging over the benefits of early detection &#8211; much like the breast cancer awareness movement that urges the equally controversial screening mammograms.</p>
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		<title>By: M. Meagher</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-6567</link>
		<dc:creator><![CDATA[M. Meagher]]></dc:creator>
		<pubDate>Tue, 17 Aug 2010 20:05:44 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-6567</guid>
		<description><![CDATA[Luiz, I&#039;m betting you have never been diagnosed with cancer yourself.  Let&#039;s see how willing to do nothing you&#039;d be if you were one day diagnosed or if you had symptoms consistent with prostate cancer.  My guess is that both you and the guy who wrote this book would be demanding both the test and then immediate treatment.]]></description>
		<content:encoded><![CDATA[<p>Luiz, I&#8217;m betting you have never been diagnosed with cancer yourself.  Let&#8217;s see how willing to do nothing you&#8217;d be if you were one day diagnosed or if you had symptoms consistent with prostate cancer.  My guess is that both you and the guy who wrote this book would be demanding both the test and then immediate treatment.</p>
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		<title>By: Pat</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-777</link>
		<dc:creator><![CDATA[Pat]]></dc:creator>
		<pubDate>Sun, 07 Mar 2010 14:55:16 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-777</guid>
		<description><![CDATA[This is an outstanding book, yet I fear its very thesis will frighten off men and their doctors.  There is a very powerful lobbying faction out there snowballing out of control in an effort to raise awareness of this diagnosis and then the &quot;need&quot; for treatment.  Thanks for helping to share the experts&#039; opinions of the other side of this issue.  ]]></description>
		<content:encoded><![CDATA[<p>This is an outstanding book, yet I fear its very thesis will frighten off men and their doctors.  There is a very powerful lobbying faction out there snowballing out of control in an effort to raise awareness of this diagnosis and then the &#8220;need&#8221; for treatment.  Thanks for helping to share the experts&#8217; opinions of the other side of this issue.  </p>
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		<title>By: Lou Ferriss</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-277</link>
		<dc:creator><![CDATA[Lou Ferriss]]></dc:creator>
		<pubDate>Wed, 20 Jan 2010 03:07:26 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-277</guid>
		<description><![CDATA[Oh, yeah, it&#039;s a business alright.  And what a business!  A license to print money for many doctors.  I&#039;ve read this book and I encourage everyone to read this - especially men who have bought into the growing demand for routine PSA testing (a movement largely funded by industry and for-profit medicine).

Thanks for helping to spread the word - it&#039;s an uphill battle.]]></description>
		<content:encoded><![CDATA[<p>Oh, yeah, it&#8217;s a business alright.  And what a business!  A license to print money for many doctors.  I&#8217;ve read this book and I encourage everyone to read this &#8211; especially men who have bought into the growing demand for routine PSA testing (a movement largely funded by industry and for-profit medicine).</p>
<p>Thanks for helping to spread the word &#8211; it&#8217;s an uphill battle.</p>
]]></content:encoded>
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	<item>
		<title>By: Luiz in Barcelona</title>
		<link>http://ethicalnag.org/2009/12/20/profit-before-patients/comment-page-1/#comment-255</link>
		<dc:creator><![CDATA[Luiz in Barcelona]]></dc:creator>
		<pubDate>Fri, 15 Jan 2010 18:36:49 +0000</pubDate>
		<guid isPermaLink="false">http://ethicalnag.org/?p=756#comment-255</guid>
		<description><![CDATA[I absolutely agree with the Doctor who wrote this book, but my suspicion is that if a man hears the C-word, he is unlikely to tolerate cancer of any kind, no matter how benign, to go untreated inside his body. ]]></description>
		<content:encoded><![CDATA[<p>I absolutely agree with the Doctor who wrote this book, but my suspicion is that if a man hears the C-word, he is unlikely to tolerate cancer of any kind, no matter how benign, to go untreated inside his body. </p>
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