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Patient advocacy is naturally at odds with professional tribalism and boosterism

Paul Ingraham ARCHIVEDMicroblog posts are archived and rarely updated. In contrast, most long-form articles on PainScience.com are updated regularly over the years.

Patient advocacy is naturally at odds with professional tribalism and boosterism. This has been pissing me off for 20 years now and has at least partially motivated everything I have ever written about musculoskeletal medicine.

Far too many healthcare professionals, especially the freelance manual therapists, place a higher value on their professional pride than their patients’ needs. This shows up most clearly in public debates (social media arguments) about best practices, when they aggressively circle their wagons to defend their deep investments in obsolete and bogus tools, methods, and ideas. Of course they think they are defending what’s best for patients, and they will frame it that way, but they are actually defending what’s best for their career and reputation. For instance, that trademarked modality they are certified in — five grand for a series of weekend workshops — is mostly good for their reputation and bottom line, not patients.

It’s more important to them to seem effective than to be effective.

For more on this theme, see these articles about:

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