“Evidenced based medicine, clinical guidelines, and diagnostic algorithms have been widely adopted as an answer to inconsistent and out-of-date medical practice. Drs. Leana Wen and Joshua Kosowsky make the case that the resultant algorithms-gone-wild syndrome seen in many medical settings today actually drives imprecise and wasteful testing, muddled diagnoses, and patient confusion. They argue that these clinical behaviors are at the heart of our “morbidly obese” medical care system and that thoughtful physicians relying on patient narratives and diagnostic common sense will create a leaner medical care system and better patient outcomes.  Theirs is a contrarian and compelling case with the wellbeing of millions of patients and $250 billion a year riding on it.”

--Fitzhugh Mullan, M.D., Murdock Head Professor of Medicine and Health Policy, The George Washington University