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	<title>Comments on: Do we get what we pay for?</title>
	<atom:link href="http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/feed/" rel="self" type="application/rss+xml" />
	<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/</link>
	<description>My Irrational Life</description>
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		<title>By: TBill</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-264</link>
		<dc:creator><![CDATA[TBill]]></dc:creator>
		<pubDate>Sat, 22 Mar 2008 19:56:57 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-264</guid>
		<description><![CDATA[I&#039;ve read that the placebo effect doesn&#039;t work in young children since they haven&#039;t learned it yet.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;ve read that the placebo effect doesn&#8217;t work in young children since they haven&#8217;t learned it yet.</p>
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		<title>By: susan</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-263</link>
		<dc:creator><![CDATA[susan]]></dc:creator>
		<pubDate>Mon, 10 Mar 2008 23:04:43 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-263</guid>
		<description><![CDATA[Expectations - the larger issue of the entire Placebo effect.  Hence, if you think your doctor is fantastic and (infalliable) you will believe anything and everything (s)he tells you (that you can understand).

Unfortunately, due to the difficulties in studying these effects within the brain (all those wonderful circuits to excite, inhibit, disinhibit, etc) it&#039;s even more difficult to &quot;prove&quot; scientifically this effect.  And, until this is reproducible, it will be difficult to ethically incorporate this into allopathic medical practice.

This is also one of the reasons we have such difficulties with &quot;drug seekers&quot; too - their expectations of only, say Demerol or Oxycontin (or even Vicodin)as effective for their &quot;pain&quot; (psychic or &quot;physical&quot;).  Yet, if we try to &quot;sell&quot; another med, we are termed &quot;unethical.&quot;  Sometimes, we can use the generic name (which is so much more polysyllabic) to have the desired effect.

But this is also the reason that some physicians are more &quot;effective&quot; than others - the confidence that their patients have in them, either from prior reputation (that information before the history/physical), or that &quot;bedside manner&quot; that convinces the patient of the &quot;quality&quot; issue]]></description>
		<content:encoded><![CDATA[<p>Expectations &#8211; the larger issue of the entire Placebo effect.  Hence, if you think your doctor is fantastic and (infalliable) you will believe anything and everything (s)he tells you (that you can understand).</p>
<p>Unfortunately, due to the difficulties in studying these effects within the brain (all those wonderful circuits to excite, inhibit, disinhibit, etc) it&#8217;s even more difficult to &#8220;prove&#8221; scientifically this effect.  And, until this is reproducible, it will be difficult to ethically incorporate this into allopathic medical practice.</p>
<p>This is also one of the reasons we have such difficulties with &#8220;drug seekers&#8221; too &#8211; their expectations of only, say Demerol or Oxycontin (or even Vicodin)as effective for their &#8220;pain&#8221; (psychic or &#8220;physical&#8221;).  Yet, if we try to &#8220;sell&#8221; another med, we are termed &#8220;unethical.&#8221;  Sometimes, we can use the generic name (which is so much more polysyllabic) to have the desired effect.</p>
<p>But this is also the reason that some physicians are more &#8220;effective&#8221; than others &#8211; the confidence that their patients have in them, either from prior reputation (that information before the history/physical), or that &#8220;bedside manner&#8221; that convinces the patient of the &#8220;quality&#8221; issue</p>
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		<title>By: B. Schaefer - National Physicians Alliance</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-262</link>
		<dc:creator><![CDATA[B. Schaefer - National Physicians Alliance]]></dc:creator>
		<pubDate>Sun, 09 Mar 2008 20:37:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-262</guid>
		<description><![CDATA[I have not seen the paper yet, but a brilliant study - and it must have been a pain to get it through the IRB. While some may think that this justifies overpriced drugs (&quot;that&#039;s why they work better!&quot;), I hope most will realize that it actually diminishes the the role of medicines, at least for pain. It makes it even more clear why we should not believe every tale told by the pharmaceutical industry about the effectiveness of their drugs. If they only work marginally better than placebo, or another, cheaper pill, what does that tell us? That&#039;s why studies have to be double blind - and if they are not, patient and doctor, beware!]]></description>
		<content:encoded><![CDATA[<p>I have not seen the paper yet, but a brilliant study &#8211; and it must have been a pain to get it through the IRB. While some may think that this justifies overpriced drugs (&#8220;that&#8217;s why they work better!&#8221;), I hope most will realize that it actually diminishes the the role of medicines, at least for pain. It makes it even more clear why we should not believe every tale told by the pharmaceutical industry about the effectiveness of their drugs. If they only work marginally better than placebo, or another, cheaper pill, what does that tell us? That&#8217;s why studies have to be double blind &#8211; and if they are not, patient and doctor, beware!</p>
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		<title>By: Bob</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-261</link>
		<dc:creator><![CDATA[Bob]]></dc:creator>
		<pubDate>Sun, 09 Mar 2008 17:34:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-261</guid>
		<description><![CDATA[This brings to mind the issue of expensive cables in the audiophile world.  People will spend thousands of dollars on speaker cables though the benefits are not at all obvious or universally recognized.  I&#039;d be interested in hearing Dan&#039;s thoughts on this issue, and I&#039;d be even more interested if he were to do some research in this area.]]></description>
		<content:encoded><![CDATA[<p>This brings to mind the issue of expensive cables in the audiophile world.  People will spend thousands of dollars on speaker cables though the benefits are not at all obvious or universally recognized.  I&#8217;d be interested in hearing Dan&#8217;s thoughts on this issue, and I&#8217;d be even more interested if he were to do some research in this area.</p>
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		<title>By: P. J. Grath</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-260</link>
		<dc:creator><![CDATA[P. J. Grath]]></dc:creator>
		<pubDate>Sun, 09 Mar 2008 13:02:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-260</guid>
		<description><![CDATA[I&#039;m wondering about the effects of expectation, if any, on medical research not involving human subjects. If mice are given a placebo by lab technicians who believe they&#039;re giving a drug, do the mice respond as if given the drug? Or, if the mice show no improvement with a placebo, might the lab technicians thinking they&#039;d administered a real drug perceive improvement?]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m wondering about the effects of expectation, if any, on medical research not involving human subjects. If mice are given a placebo by lab technicians who believe they&#8217;re giving a drug, do the mice respond as if given the drug? Or, if the mice show no improvement with a placebo, might the lab technicians thinking they&#8217;d administered a real drug perceive improvement?</p>
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		<title>By: Mahesh</title>
		<link>http://danariely.com/2008/03/05/do-we-get-what-we-pay-for/#comment-259</link>
		<dc:creator><![CDATA[Mahesh]]></dc:creator>
		<pubDate>Thu, 06 Mar 2008 01:35:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.predictablyirrational.com/?p=174#comment-259</guid>
		<description><![CDATA[Very similar to the recent study about the perception of wine quality, based on Price. Here is the link: http://mr.caltech.edu/media/Press_Releases/PR13091.html]]></description>
		<content:encoded><![CDATA[<p>Very similar to the recent study about the perception of wine quality, based on Price. Here is the link: <a href="http://mr.caltech.edu/media/Press_Releases/PR13091.html" rel="nofollow">http://mr.caltech.edu/media/Press_Releases/PR13091.html</a></p>
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