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Thread: Mandatory Depression Screening is A Depressing Thought

  1. #11
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    Denninger posted this on January 30th. It's about this subject. Very good read.


    We Haven't Had ENOUGH Mass-Shootings
    The Market Ticker ® - Commentary on The Capital Markets

    2016-01-30 05:00 by Karl Denninger
    in Health Reform , 213 references
    We Haven't Had ENOUGH Mass-Shootings

    Is this really what this group believes - and wants to increase?
    As one of the most common mental disorders in the U.S., depression is a serious condition directly affecting millions of people, as well as their surrounding support network of friends and family. In a response to the mounting awareness of mental health, figuring out who may be suffering and providing them with the help and support they need is crucial. In light of this, the U.S. Preventive Services Task Force (USPSTF) has recommended that doctors should screen everyone over the age of 18 for signs of depression, and provide them with the necessary care.
    The advice is an update on the 2009 recommendations by the USPSTF – which is made up of an independent panel of experts – and as well as suggesting that all adults should be screened, they also advocate that pregnant women and those who have recently given birth should also be assessed, as they were not previously included in the earlier recommendations. The USPSTF say that they have found “convincing evidence that screening improves the accurate identification of adult patients with depression in primary care settings.”
    Uh huh.
    The problem with such a recommendation is that it sounds good but the arithmetic isn't so favorable. In fact it's downright nasty and leaves one to wonder exactly what the motivation for this really is.
    This is not a function of wanting to help (or not) people who are depressed. It is about risk and placing diagnostic capability in the hands of those who are unfit to exercise it, especially when psychotropic, and specifically SSRI-class, drugs are involved.
    I've gone through this before but it bears repeating: These drugs have serious warnings on them because they have the potential, in a small but material percentage of people, to cause mass-rage incidents. This risk is especially pronounced in persons under the age of 25 for reasons we do not fully understand.
    Specifically it appears from the literature that if you manage to give one of these drugs to someone who is in fact bi-polar you're running a terrible risk. People who are mentally ill are often misdiagnosed and to ask an ordinary physician to make a diagnosis of this sort and potentially prescribe said drugs is asking for trouble.
    Leave aside the other societal changes that certain people, including our President, want to make. Specifically, they're very interested in declaring anyone who is "depressed" as mentally incompetent, which gives rise to a whole host of disabilities including removal of one's Second Amendment rights. Being wrong about this diagnosis could lead to immediate confiscation of one's property and revocation of those rights, for starters.
    But that risk pales beside creating rage monsters.
    I have long advocated that nobody under the age of 25 should be prescribed these drugs except in a residential facility. That would gross disrupt a whole lot of pharmaceutical profits but given the facts on these mass-shooting incidents it would have probably prevented nearly all of them, including Sandy Hook, Columbine and Aurora -- for starters. Even worse is the fact that these drugs appear to often precipitate suicide as well, which is of course the exact opposite of "help."
    The debate we must have is one over the benefits for the person taking the drug, which is open to plenty of question when it comes to this class of drug anyway, versus the risk that we create monstrously bad outcomes (read: dead people) for society as a whole.
    I think there's a clean argument to be made that with proper monitoring these drugs can be safe and possibly effective in some members of the adult population over the age of 25. But I maintain my stance, based on the public literature and outcomes that have been witnessed over the last couple of decades, that their use is indefensible in adolescents and young adults outside of a residential facility -- and I'm not alone in that view

  2. #12
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    Quote Originally Posted by Tollwatch View Post
    I tend to vet stories. Here is the link to the actual recommendation.

    http://www.uspreventiveservicestaskf...ultfinales/pdf


    Thank you, I screened through it quickly. It appears standard screening fare for identifying depressed patients in need of treatment. I wonder how much Kaiser got paid for this? The military has been proactive since the late 1990's in screening pre-deployment and redeployment military members to reduce suicide rates. There is a wealth of data there.

    I'll read it in depth at leisure later.
    “Blessed are those who, in the face of death, think only about the front sight.” Malo periculosam, libertatem quam quietam servitutem

  3. #13
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    Not happening here. I don't like doc's to begin with and they would be very annoyed at my "sorry I don't have time to be your friend perhaps you should hire a hooker" attitude.



  4. #14
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    Quote Originally Posted by rlm1966 View Post
    Not happening here. I don't like doc's to begin with and they would be very annoyed at my "sorry I don't have time to be your friend perhaps you should hire a hooker" attitude.
    “I would remind you that extremism in the defense of liberty is no vice! And let me remind you also that moderation in the pursuit of justice is no virtue.” Barry Goldwater.

    Every normal man must be tempted at times to spit on his hands, hoist the black flag, and begin to slit throats.H. L. Mencken

  5. #15
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    Quote Originally Posted by Pastor Guest View Post
    Then, like mandatory vaccinations, people will be forced to take psychotropic drugs.
    Who is not taking psychotropic drugs these days? Mormons, perhaps? They as a rule don't use nicotine, alcohol or caffeine.

    Even that population is plagued by prescription drug abuse.

  6. #16
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    Quote Originally Posted by Green Man View Post
    Who is not taking psychotropic drugs these days? Mormons, perhaps? They as a rule don't use nicotine, alcohol or caffeine.

    Even that population is plagued by prescription drug abuse.
    So it's OK with you for the government to force people to take drugs?
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  7. #17
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    Quote Originally Posted by Pastor Guest View Post
    So it's OK with you for the government to force people to take drugs?
    If drugs could them their lives back, a lot of people would happily take them (once their deductible was met, of course).

  8. #18
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    Quote Originally Posted by Green Man View Post
    If drugs could them their lives back, a lot of people would happily take them (once their deductible was met, of course).
    How about the government forcing people who love liberty to take drugs to make
    them compliant to an oppressive government?
    Pastor Guest

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