Disease mongering
Disease mongering is a pejorative term for the practice of widening the diagnostic boundaries of illnesses and aggressively promoting their public awareness in order to expand the markets for treatment.
Among the entities benefiting from selling and delivering treatments are
bogus or unrecognised diagnoses
.
Term
The term "
halitosis
(bad breath).
Payer defined disease mongering as a set of practices which include the following:[1]
- Stating that normal human experiences are abnormal and in need of treatment
- Claiming to recognize suffering which is not present
- Defining a disease such that a large number of people have it
- Defining a disease's cause as some ambiguous deficiency or hormonal imbalance
- Associating a disease with a public relations spincampaign
- Directing the framing of public discussion of a disease
- Intentionally misusing statistics to exaggerate treatment benefits
- Setting a dubious clinical endpoint in research
- Advertising a treatment as without side effect
- Advertising a common symptom as a serious disease
The incidence of conditions not previously defined as illness being
medicalised as "diseases" is difficult to scientifically assess due to the inherent social and political nature of the definition of what constitutes a disease, and what aspects of the human condition should be managed according to a medical model.[2] For example, halitosis, the condition which prompted Payer to coin the phrase "disease mongering", isn't merely an imagined social stigma but can stem from any of a wide spectrum of conditions spanning from bacterial infection of the gums to kidney failure, and is recognized by the Scientific Council of the American Dental Association as "a recognizable condition which deserves professional attention".[3]
Examples
Australian journalist
BMJ titled "Scientists find new disease: motivational deficiency disorder".[6]
Other conditions which have been cited as examples of disease mongering include:
FDA advisory committee voted to limit the use of testosterone replacement therapy products due to potentially increased cardiovascular risk associated with their use.[13]
A 2006
PLoS Medicine, explored the phenomenon of disease mongering.[14]
See also
- Inverse benefit law
- Medicalization
- Medicalization of sexuality
- Quaternary prevention
- Schooliosis – an example of disease mongering due to overdiagnosis
References
- ISBN 978-0471543855.
- PMID 19910354.
- ^ "nypediatricdds.com" (PDF). Archived from the original (PDF) on 2014-10-18.
- ^ PMID 11950740.
- PMID 12143857.
- PMC 1420696.say that in severe cases motivational deficiency disorder can be fatal, because the condition reduces the motivation to breathe.
[Neurologist Leth Argos and a team...] at the University of Newcastle in Australia
- PMID 16597180.
- S2CID 41710942.
- ISSN 1091-2339. Retrieved 2024-02-18.
- PMID 16597176.
- S2CID 4640632.
- ^ "www.guidelines.co.uk". Archived from the original on 2014-10-18.
- ^ "FDA Panel: Limit Testosterone Drug Use – WebMD".
- ^ Moynihan R, Henry D (eds). "A Collection of Articles on Disease Mongering". PLoS medicine, 2006. Archived from the original on 2006-09-01. Retrieved 2007-06-12.
Further reading
- Conrad, Peter (2007). The Medicalization of Society: On the Transformation of Human Conditions into Treatable Disorders. Baltimore: ISBN 978-0-8018-8585-3.
- Dalrymple, Theodore (September 2006). "Forced Smiles". New Criterion. 25.
- Day, Michael (29 August 2004). "Doctors' body accuses drug firms of 'disease mongering'". The Daily Telegraph. Archived from the original on 30 August 2004. Retrieved 26 July 2019.
- Doran, Evan; Hogue, Clare (2014). "Potency, Hubris, and Susceptibility: The Disease Mongering Critique of Pharmaceutical Marketing" (PDF). Qualitative Report. 19: 78.
- Moynihan, R; Henry, D (2006). "The fight against disease mongering: Generating knowledge for action". PLOS Medicine. 3 (4): e191. PMID 16597180.