In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones. It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today. Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.

A bright young comic talent presents 18 bitterly funny--and frighteningly universal--tales of rejection, humiliation, and misfortune.

Robbie Castleman believes reclaiming purity in relationships is a journey toward holiness. In sprightly, straight-for-the-target prose, she shows how unmarried Christians can wait until marriage without turning into prudes or wallflowers.

What if the biggest danger to the church of Jesus Christ is not blatant heresy, the moral failures of church leaders, persecution, the rise of Islam or the loss of our rights? What if the biggest threat is counterfeit gospels within the church, ways of thinking and speaking about the good news that lead to a gradual drift from the truth of Scripture? The gospel is like a three-legged stool. There’s the Gospel Story – the grand narrative of Scripture (Creation, Fall, Redemption, Restoration). Within that overarching framework, we make the Gospel Announcement about Jesus Christ (His perfect life, substitutionary death, resurrection, exaltation). The gospel announcement then births the Gospel Community: God’s church – the embodiment of the gospel, the manifestation of God’s kingdom. A counterfeit gospel is like a colony of termites, eating away at one of the legs of this stool until the whole thing topples over. This book exposes six common counterfeits (Therapeutic, Judgmentless, Moralist, Quietist, Activist, and Churchless) that would get us off track. The goal of Counterfeit Gospels is to so deepen our love for the unchanging gospel of Jesus Christ that we would easily see through the many counterfeits that leave us impoverished. So come, love the gospel, recognize and overcome the counterfeits, and be empowered for ministry!

Annotation Medical science has always promised -- and often delivered -- a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?Hope or Hype is a taboo-shattering look at what drives the American obsession with medical "miracles," exposing the equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery; the politicians; the press; and our own "technoconsumption" mindset. The authors spread blame for the parade of so-called miracle cures that too often are marginally effective at best -- and sometimes downright dangerous. They examine consumers? eager embrace of medical advances, and present riveting stories of the conscientious doctors and researchers who blew the whistle on ineffective treatments. Finally, they provide sane, practical recommendations for the adoption of new developments. The consequences of questionable practices include costly recalls, billions in wasted money, and the pain and suffering of innumerable patients and their families. In short, they must stop.

This text exposes the cause of the health care crisis and proposes an alternative to make care affordable and available to all. It shows how the quest for perfection is the core of the crisis, and suggests a medicine that bows to the limits of human nature and gives priority to meeting basic needs.