Cut costs, question medical tests and treatments

You’ve likely heard it said that more isn’t better when it comes to health care. And when it comes to unnecessary and overused tests and treatments, more can cost you a bundle that you could spend on essential preventive care. According to a Progressive Policy Institute report, $700 billion per year goes to unnecessary tests and procedures. And in a 2007 Consumer Reports National Research Center survey, thirty-four percent of a national sample of 300 primary-care physicians said their patients "very frequently" or "quite often" requested unnecessary or duplicative medical tests. And 66 percent said they had acceded to at least one such request within the previous month.

What can you do to make sure you’re only getting the essential tests? Designate one doctor, typically your primary-care physician, to coordinate your care. If your doctor suggests a tests or procedure you’re uncertain about, ask:

• Why is this test necessary? What will it tell us that we don't already know?

• Will the results significantly alter any treatment plans?

• When will the results be ready? Should I call you for them, or will you call me?

• What treatments are used for my condition? Which is best for me, and why?

• What does the research show about this treatment?

• Is there any research on the horizon about treatments for my condition?

• What can I expect from this treatment, based on your experience?

• What are the side effects of this medication? Will it interact with alcohol, caffeine, or other drugs or supplements I take?

• Are there any alternative treatments appropriate for me to try, either before or along with conventional treatment?

—Ginger Skinner

Find out which medical tests and procedures are recommended for you, and read more from Dr. John Santa on why more treatment isn’t always the best option.