How Overdiagnosis Turns Healthy People Into Patients | Alan Cassels
American Thought Leaders
The Epoch Times
4.9 • 1.2K Ratings
🗓️ 24 December 2025
⏱️ 46 minutes
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Summary
“We get a lot of inappropriate over-prescribing for almost everything,” says drug policy researcher and journalist Alan Cassels.
Cassels is the co-author of “Selling Sickness: How the World’s Biggest Pharmaceutical Companies Are Turning Us All Into Patients.”
For Cassels, it was one disease in particular—osteoporosis—that changed his entire view of medicine.
Based on changing definitions of the disease, large swaths of Americans could suddenly be declared sick and in urgent need of drug treatment.
They “medicalized normal aging of basically the entire female population. Overnight,” he says.
In our interview, we discuss the influence of the pharmaceutical industry on overdiagnoses and prescriptions, and how the criteria for many diseases can be expanded arbitrarily.
“When you look closely at the quality of prescribing, a lot of times, the decision-making is not really driven by evidence. It’s driven mostly by … marketing, biases, influence from thought leaders, and influence from guidelines, medical guidelines themselves, which are often appallingly biased,” he says.
Many doctors, Cassels says, know little about the adverse effects of the many drugs they prescribe to their patients.
We also dive into the connection between psychiatric drug prescriptions and violence, how psychiatry labels normal behaviors as abnormal, and how exaggerated statistics are used to sell theories of disease and drug treatments.
Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.
Transcript
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| 0:00.0 | We know that the rate of effects are much greater than 1%. |
| 0:03.7 | Right. |
| 0:06.4 | So you're promoting this drug on the basis of a misleading reduction. |
| 0:11.7 | We still see this today. |
| 0:13.2 | In this episode, I sit down with Alan Castles, a health policy researcher, |
| 0:17.7 | an author of Selling Sickness. |
| 0:20.1 | He highlights the risk and adverse effects of |
| 0:22.6 | antipsychotics and antidepressants, including violent behavior. And oftentimes when these |
| 0:27.6 | violent attacks happen, nobody is sitting down and asking, what kind of drugs was the person taking |
| 0:32.2 | and what kind of prescribing were they, you know, experiencing. How are medical conditions |
| 0:36.6 | exaggerated to drive increased drug prescriptions? |
| 0:39.3 | What used to be considered to be autistic behavior, there might be, say, 15 to 20 different symptoms. |
| 0:45.3 | If the child exhibits 10 of them, they might be considered to have autism. |
| 0:49.3 | Now they only have to exhibit six of them. |
| 0:51.3 | Castles warns against fear-based marketing and encourages careful consideration of prescriptions, |
| 0:57.0 | especially for chronic conditions. |
| 0:59.4 | Stop allowing yourself to be made afraid |
| 1:03.0 | by those who are selling treatments. |
| 1:05.0 | If you're facing the sharp end of a prescription pad, |
| 1:07.8 | you have time to think about it. |
| 1:10.0 | This is American Thought Leaders, and I'm Yanya Kellick. |
| 1:16.6 | Alan Castles, such a pleasure to have you on American Thought Leaders. |
... |
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