Dr. Howard Schubiner
👤 PersonAppearances Over Time
Podcast Appearances
And we'll talk about that more as well. But the point is, is that The amount of compassion they need should be double or triple what they're getting. So that's one thing that I really see as a horrible problem in our medical profession. The second thing is that people don't know. Doctors have not been taught this third model, the symptom perception model.
And we'll talk about that more as well. But the point is, is that The amount of compassion they need should be double or triple what they're getting. So that's one thing that I really see as a horrible problem in our medical profession. The second thing is that people don't know. Doctors have not been taught this third model, the symptom perception model.
And we'll talk about that more as well. But the point is, is that The amount of compassion they need should be double or triple what they're getting. So that's one thing that I really see as a horrible problem in our medical profession. The second thing is that people don't know. Doctors have not been taught this third model, the symptom perception model.
They haven't been taught the neuroscience of predictive processing and how the brain works. They haven't been taught that the brain generates pain, so they don't really understand it. And they're working within their model. And their model tends to be you get locked into your model the more you do it over time. And so people are doing, for example, there's an injection therapy for back pain.
They haven't been taught the neuroscience of predictive processing and how the brain works. They haven't been taught that the brain generates pain, so they don't really understand it. And they're working within their model. And their model tends to be you get locked into your model the more you do it over time. And so people are doing, for example, there's an injection therapy for back pain.
They haven't been taught the neuroscience of predictive processing and how the brain works. They haven't been taught that the brain generates pain, so they don't really understand it. And they're working within their model. And their model tends to be you get locked into your model the more you do it over time. And so people are doing, for example, there's an injection therapy for back pain.
There's a variety of different types of injections for chronic low back pain. Those studies, the research studies where they compare those injections versus placebo injections show no difference. I mean, this is astounding. I mean, it's true. It's right there to read. Anybody can read these data. Why are people still giving them? Because sometimes the treatment is working.
There's a variety of different types of injections for chronic low back pain. Those studies, the research studies where they compare those injections versus placebo injections show no difference. I mean, this is astounding. I mean, it's true. It's right there to read. Anybody can read these data. Why are people still giving them? Because sometimes the treatment is working.
There's a variety of different types of injections for chronic low back pain. Those studies, the research studies where they compare those injections versus placebo injections show no difference. I mean, this is astounding. I mean, it's true. It's right there to read. Anybody can read these data. Why are people still giving them? Because sometimes the treatment is working.
If the treatment is working no better than placebo, but it's still working, that means the mechanism by which it's working is a placebo mechanism. And if someone's back pain is coming from their brain and not their back, a good placebo can be curative. I mean, it can make a huge difference. So people are still doing those and they're still making, obviously, money doing those.
If the treatment is working no better than placebo, but it's still working, that means the mechanism by which it's working is a placebo mechanism. And if someone's back pain is coming from their brain and not their back, a good placebo can be curative. I mean, it can make a huge difference. So people are still doing those and they're still making, obviously, money doing those.
If the treatment is working no better than placebo, but it's still working, that means the mechanism by which it's working is a placebo mechanism. And if someone's back pain is coming from their brain and not their back, a good placebo can be curative. I mean, it can make a huge difference. So people are still doing those and they're still making, obviously, money doing those.
Their practice is based on that. And the biotechnical industry is a huge industry because back pain is so big and so much money is in it.
Their practice is based on that. And the biotechnical industry is a huge industry because back pain is so big and so much money is in it.
Their practice is based on that. And the biotechnical industry is a huge industry because back pain is so big and so much money is in it.
and therefore there's a big biotechnical device companies that have been making devices for 50 years or so newer newer newer ones to get people to use and some of these are expensive but they're expensive so the the the device company is making money the doctor is doing it is making money The hospital is making money. This is all fee for service.
and therefore there's a big biotechnical device companies that have been making devices for 50 years or so newer newer newer ones to get people to use and some of these are expensive but they're expensive so the the the device company is making money the doctor is doing it is making money The hospital is making money. This is all fee for service.
and therefore there's a big biotechnical device companies that have been making devices for 50 years or so newer newer newer ones to get people to use and some of these are expensive but they're expensive so the the the device company is making money the doctor is doing it is making money The hospital is making money. This is all fee for service.
Our system is based on the more you do, the more you get paid. As opposed to the healthier you keep people, the more you get paid. Different system. So there's a lot of incentives in that direction that range from not understanding and just doing the thing that you know to actual financial incentives.
Our system is based on the more you do, the more you get paid. As opposed to the healthier you keep people, the more you get paid. Different system. So there's a lot of incentives in that direction that range from not understanding and just doing the thing that you know to actual financial incentives.