We Are Having an Epidemic of Tonsillectomies

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This is strange. Just the other day, for no apparent reason, it occurred to me that no one ever has their tonsils removed anymore. It seems like that used to be a pretty common procedure, and then it just fell off the map.

But I was thinking about adults, and that was a big mistake. Sarah Kliff reports today that I wasn’t just wrong about this, but wildly, totally, 180 degrees wrong:

It turns out we’re in the middle of an epidemic — a tonsillectomy epidemic, to be more specific. Tonsillectomies are the most common procedure, for children, requiring anesthesia. And we’re doing more of them: The number of tonsillectomies performed spiked by 74 percent between 1996 and 2006. In 2006 alone, more than a half-million children in the United States got their tonsils removed. The only problem is there’s no evidence they work for most children.

The procedure does show some benefits for those with really serious symptoms — very sore throats, fevers and other symptoms at least seven times in the past year — but no improvement for those whose indications are milder.

So why do we keep doing them? Tonsillectomies aren’t big moneymakers. Parents aren’t demanding them. There are no government guidelines that encourage them. Apparently it’s basically just inertia. Doctors have been doing tonsillectomies for a long time, so they just keep on doing them even though there’s little evidence that they work in most cases. It’s much like life itself.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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