A critical perspective on coronary artery disease and coronary bypass surgery.
This paper examines coronary artery disease and coronary artery bypass graft (CABG) surgery from a critical medical anthropological perspective. It explores the issue of why an expensive, individualistic, and mechanistic treatment for the symptoms of coronary artery disease (CABG surgery) has come to be so widely used to treat a condition which is so clearly related to occupational, social and environmental stresses and to behavioral factors. The paper also addresses the issue of why CABG surgery has proliferated in the absence of firm evidence from controlled studies that it is an effective long-term mode of treatment for many patients with this disease. Through this analysis of the growth and continued overuse of CABG surgery the social nature of biomedical knowledge and the socio-cultural, political and economic nature of biomedical decision making are revealed.
Bates
M S
MS
Career & Interdisciplinary Studies & School of Nursing, State University of New York, Binghamton 13901.
D001026:Coronary Artery Bypass / Q000191:economics / Q000706:statistics & numerical data; D003327:Coronary Disease / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications; D007221:Industry; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D014481:United States