Low-value Care

Report claims Heritage Valley Sewickley, St. Clair hospitals perform needless back surgeries

Abstract: “Every field of medicine has more than the public realizes of stuff like this where the evidence doesn’t really support it that much,” Saini said. “When you do it across all of American health care, it’s actually a significant piece of the health care cost.”

Date Published: October 16, 2025

Author(s): Jack Troy

Publication: Trib Live

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To eliminate medication overload, serious cultural, educational, and policy changes are needed. This action plan offers recommendations for policymakers, health care institutions, clinicians, and patients across five key categories to reduce harm from multiple medication use. Suggested Citation: Eliminating medication overload: A national action plan. Working Group on Medication Overload. Brookline, MA: The Lown Institute, 2020. DOI: https://doi.org/10.46241/LI.YLBW4885

Pharmaceutical marketing is a significant factor in the growing public health crisis of medication overload, which puts millions of older adults at risk of preventable harm and premature death. This issue brief provides recommendations to reduce pharmaceutical industry influence by limiting pharma sales rep visits to clinicians and direct-to-consumer advertising.

This issue brief provides recommendations for clinical practice guidelines and electronic health records that would give clinicians the information they need to appropriately prescribe and deprescribe.