Re: Too Much Medicare "Care" Again


"Herman Rubin" <hrubin@xxxxxxxxxxxxxxxxxxxx> wrote in message
news:euf88f$5400@xxxxxxxxxxxxxxxxxxxxxxx

The question of what procedure is best for that particular
patient is unlikely to be answered in the next century, and
probably not in the next millennium. It is not a "scientific"
question of whether there is a "significant difference"; it
is a question what to do NOW for a particular patient, and
even if all the physical evidence is the same, the patient's
value system can make big differences.

You put too much faith in crude statistical methods; as a
statistician, I KNOW why they very often give wrong results,
and also, we cannot wait forever.

Well, Herman, values are not going to determine a procedure is
effective. That is mysticism. Ok, medicine often does not include many
variables, including known factors such as socio-economic status, as the HRT
self-selection biases showed. But some of that can be fixed.

--
This address is for information only. I do not claim that these views
are those of the Statistics Department or of Purdue University.
Herman Rubin, Department of Statistics, Purdue University
hrubin@xxxxxxxxxxxxxxx Phone: (765)494-6054 FAX: (765)494-0558


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