Perspective: A daily aspirin is good for your heart, right? Actually it’s time to rethink that but here’s why many doctors don’t.
By Inderveer Mahal May 19 at 9:00 AM For decades, millions of patients have been taking a daily aspirin in an attempt to prevent hearts attacks and strokes. But in March 2019, the American College of Cardiology and the American Heart Association released guidelines declaring healthy adults with an average risk for heart disease receive no overall benefit from a daily aspirin.
It’s no secret health-care systems are slow to integrate new research into clinical practice. A landmark study from the early 2000s showed there is a time lag of 17 years before research is implemented into regular care.This partially explains why low-value health care continues to thrive — to the tune of $765 billion of unproductive expenditure in the United States in the year 2013 alone.
But try convincing the doctors who invested years doing these exams — often booking patients in for longer, half-hour visits and believing they were providing a valuable service — to move away from this ingrained and fossilized method of medical care. When doctors refuse to provide care that was previously considered beneficial and important, the pushback from patients can be strong. As a family doctor, I often inform my patients that I don’t do annual checkups. Most are surprised and some become upset. I would be lying if I said I haven’t thought about just giving into patients’ demands to give them comfort and make my job easier.
But the cost of defensive medicine is staggering. On average, the American health-care system spends $46 billion on care centered on medical liability. Yet, despite the launch of the campaign in 2012, little change has been seen in the practice habits of physicians.
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