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maxi cosi araba koltuğu

maxi cosi araba koltuğu Maxi-Cosi Titan Pro I-Size ADAC'lı 9-36 Kg Çocuk Oto Koltuğu Authentic – Maxi-Cosi Türkiye

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maxi cosi araba koltuğu Maxi-Cosi Titan Pro I-Size ADAC'lı 9-36 Kg Çocuk Oto Koltuğu Authentic – Maxi-Cosi TürkiyeMaxi Cosi Titan Pro ADACl I SIZE ISOFIX'li, 9 36 KG, Yatabilen Bebek ve ocuk Oto Koltuu Maxi Cosi Titan Pro ADACl ocuk Oto Koltuu yeniliki G CELL ve AirProtect Gvenlik Teknolojisi ile ocuunuzla birlikte bymek iin Tasarland Neden Semeliyim? Bambu Kuma G Cell ve Airprotect Teknolojisi 11 Kademeli Ykseklik Ayar 9 Aydan 12 Yaa Kadar Kullanm (9 36kg) ocuunuz ile Beraber Byr Maxi Cosi Titan Pro ADACl ocuk Oto Koltuunun Airprotect teknolojisine sahip akll

 

Maxi-Cosi Titan Pro ADAC’lı I-SIZE ISOFIX'li, 9-36 KG, Yatabilen Bebek ve Çocuk Oto Koltuğu

Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğu yenilikçi G-CELL ve AirProtect® Güvenlik Teknolojisi ile çocuğunuzla birlikte büyümek için Tasarlandı

Neden Seçmeliyim?

Bambu Kumaş
G-Cell ve Airprotect Teknolojisi
11 Kademeli Yükseklik Ayarı
9 Aydan 12 Yaşa Kadar Kullanım (9-36kg)

Çocuğunuz ile Beraber Büyür

Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğunun Airprotect® teknolojisine sahip akıllı GrowSafe baş desteğiyle, 9 aydan 12 yaşa kadar koltuğun bir sonraki yaş kategorisine ayarlamanın tam olarak ne zaman olacağını bilirken, patentli GCell teknolojisi de çocuğunuza ek yan darbe koruması sağlar.

G-Cell 2.0 Teknolojisi, yandan çarpma anında bebeğe gelen basıncı, kasa içindeki petek yapı sayesinde, tek noktadan çok noktaya doğru yayar aracın şasesine doğru itilir ve tek noktadan alınacak sert basınç absorbe edilmiş olur. Bu sayede özellikle bebeğinizin yandan alabileceği sert darbeler önlenmiş olur.

5 Noktalı Emniyet Kemeri

Küçük çocuğunuzu sabitlemek için 5 noktalı emniyet kemeriyle birlikte kullanılan Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğu, çocuğunuz büyüdükçe normal 3 noktalı araba kemerini kullanarak güvenli bir şekilde 2/3 grup çocuk oto koltuğuna dönüştürebilir.

Yenilikçi G Cell ve AirProtect®
Güvenlik Teknolojisi

Titan Pro'da Yeni Teknoloji: G-CELL

Maxi Cosi olarak çocuğunuzun güvenliği söz konusu olduğunda, en son teknolojiyi ve en gelişmiş güvenlik yeniliklerini ararız ve oto koltuklarımıza dahil ederiz. G-CELL, gelecek nesil darbe emici teknolojisi Maxi-Cosi'nin patentli bir yeniliğidir. Doğadan ilham alan G-CELL teknolojisi, petek veya kar taneleri gibi altıgen bir şekle sahiptir. Bu özel yapı oto koltuğunun yan panellerine yerleştirilmiştir. Yan çarpışma durumunda, özellikle omuz bölgesi için çocuğunuzun vücudundaki etkiyi azaltmaya yardımcı olur.

ISOFIX ve Top Tether Bağlantısı

ISOFIX ve Top Tether bağlantısı, koltuğun araca güvenli bir şekilde bağlı kalmasını sağlar.

 

Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğu, sırtta ve koltuk başlığındaki yumuşak dolgulu kumaşı sayesinde daha uzun araba yolculuklarında bile maksimum konfor sağlar. Bambu kumaştan yapılmış koltuk kılıfı nefes alabilir ve sıcaklık düzenleyici özelliklere sahiptir. Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğu, farklı dinlenme pozisyonlarına ihtiyaç duyulması halinde 3 konforlu oturma ve dinlenme pozisyonu sunuyor.

Titan Pro'da güvenli teknoloji: AirProtect®

Baş bölümündeki özel koruma ise, kafalıkta bulunan sıkıştırılmış hava ile çalışan mekanik sistem AirProtect® ile sağlanır. Baş destek bölümündeki patentli AirProtect yan darbe koruması, baş yaralanma riskini %20 oranında azaltır! Kafalıktaki benzersiz pnömatik yastıklama yan panellerdeki yenilikçi, çarpma emici G-CELL teknolojisi, özellikle omuz bölgesinde, gelişmiş yan darbe koruması sağlar.

Konforlu Tasarım

Maxi Cosi Titan Pro ADAClı Çocuk Oto Koltuğu, ayrıca koltukta, sırt kısmında ve koltuk başlığında yumuşak bir dolguya sahiptir, bu da uzun yolculuklarda yüksek düzeyde konfor sağlar. Bambu kumaştan yapılmış koltuk kılıfı nefes alır ve sıcaklık düzenleyici özelliğe sahip olup her yolculukta küçüklerinizi doğru sıcaklıkta tutar.

Güvenlik

GCELL ve AirProtect® teknolojisi sayesinde ekstra güvenlidir ve bu nedenle çocuğunuzu bir çarpışma durumunda en iyi şekilde korur. Isofix bağlantısı ve üst bağlantı kemerinin doğru bağlanıp bağlanmadığını gösterir.
Grup 1 – 9-18kg çocuk oto koltuğu olarak kurulum: Isofix ve Top Tether ile
Grup 2/3 – 15-36kg çocuk oto koltuğu olarak kurulum: Isofix ile 5 noktalı emniyet kemeri yürümeye başlayan çocukların güvenliği için en iyi güvenliği sağlar. Avrupa güvenlik standardı ECE R44 / 04 ile uyumludur.

Genel Özellikler

  • - Güvenle büyüyen akıllı GrowSafe baş desteği ile birlikte mükemmel kafa uyumu için 11 farklı yükseklik pozisyonuna kolay ayarlanabilen koltuk başlığı
  • - Sürüş yönünde doğru 9 aydan 12 yaşa kadar kullanım
  • - Eşzamanlı ve kolay ayarlanabilir emniyet kemeri ve koltuk başlığı
  • - Yenilikçi otomatik olarak açılabilen Y emniyet kemer sistemi sayesinde saniyeler içinde çocuğunuzu koltuğa oturtabilir ya da koltuktan alabilirsiniz
  • - Yumuşak kemer koruyucuları
  • - Dik konumdan rahat bir uykuya kadar, 3 farklı pozisyonda yaslanma
  • - Rahat kalın ve yumuşak dolgulu bambu kumaştan yapılmış nefes alabilir koltuk kılıfı ekstra konfor sunar
  • - Bardaklık sayesinde içeceğini yerleştirme imkanı

Neden Tercih Etmeliyim

  • - ADAC TEST Sahibi
  • - Yüksek ISİZE Güvenliği
  • - Air Protect
  • - G
  • -Cell Teknoloji (Çarpma anında bebeğe gelen basınç, kasa içindeki petek yapı sayesinde, tek noktadan dağılarak aracın şasesine doğru atılır ve tek noktadan alınacak sert basıncı absorbe eder)
  • - Clima Flow: Bebeğinizi doğru sıcaklıkta tutmak ve hava alabilmesi için, sırtlıkta yerleşik havalandırma
  • - Emniyet kemerlerinin rahat takılabilmesi için, emniyet kemeri kancaları
  • - Emniyet Kemeri ve Baş Yüksekliğinin otomatik olarak eş zamanlı ayarlanabilmesi
  • - Isofix ve Top Tether otomatik uyarı sistemi (doğru montajı gösterir, yanlış ise uyarır)
  • - Kolay çıkarılabilir ve çamaşır makinesinde yıkanabilen kumaş
  • - Geniş yatış açısı (arkaya doğru bakışta, yeni doğana özel maksimum açı)
  • - Ekstra dolgulu baş desteği
  • - Oturma alanında ekstra kalın dolgu
  • - Omuz ve bacak arası pedi
  • - Ekstra güvenlik için siyah köpük destekleri
  • - Kafa yükseklik ayarı ile çocuğunuzla birlikte büyür
  • - 15 Aylıktan 12 yaşa kadar uzun dönemli kullanım
  • - 5 noktalı entegre emniyet kemeri, önden çarpma durumunda yüksek koruma performansı için kaymaz omuz pedleri, ve koltuk ile tabanın her zaman bağlı olduğundan emin olmak için bir Otomatik Emniyet Kemeri.

Ürün Ölçüleri

Ürün Videoları

Her Yolculuğu, çocuğunuz için daha güvenli hale getirmek için çarpışma testleri yapıyoruz.

Son teknolojiye sahip oto koltuğu test tesislerimizde, bebek ve çocuk oto koltuklarını tasarlamak, üretmek ve test etmek için gereken tüm donanıma sahibiz. Maxi-Cosi test merkezlerimiz, bebek ve çocuk ürünlerine en son yenilikleri uygulamak için, oto koltuğu endüstrsinin en iyi araştırma, tasarım ve teknolojisini bir araya getiriyor.

Oto koltuğu çarpışma testleri nasıl yapılır?

300'e kadar sensörlü kameralar ve her çocuğun boy ve kilosuna özel mankenler kullanarak, araba koltuklarımızın, bir araba kazasında, bebeğinizi ve çocuğunuzu ne kadar iyi koruyacağını tam olarak ölçüyoruz. En iyi güvenlik seviyelerine ulaştığımızdan emin olmak için bir oto koltuğunun geliştirilmesi sırasında, 1.000'e kadar çarpışma testi gerçekleştiriyoruz. Bu bebek ve çocuk oto koltuğu çarpışma testi sonuçlarını, ürünlerimizi sürekli olarak geliştirmek ve iyileştirmek için de kullanıyoruz.

Neden kendi oto koltuğu güvenlik testlerimizi kullanıyoruz?

Kendi araştırma tesislerimize sahip olarak, bir ürünü pazara sunmak için gereken minimum çarpışma testlerinden çok daha fazlasını gerçekleştiriyoruz. Oto koltuklarımızı geliştirme aşamasının başlangıcından, nihai üretime kadar test ediyoruz. Bununla da yetinmeyip, üretim sürecimizin kusursuz olduğundan emin olmak için yapılan her 5.000 koltuktan sonra bir koltuğu test etmeye devam ediyoruz. Yani bir koltuğu bir kez test edip bırakmıyor, tüm süreçlerde olabilecek hatalara karşı sürekli test ediyoruz. Çünkü biz, anne ve babaların bize tam olarak güvenmesini, ve içlerinin rahat olmasını istiyoruz

Maxi Cosi ürünleri, sadece kendi test merkezimizde değil, bağımsız firmalar tarafından da test edilmekte.

Yaptığımız testler sonucunda, bebekleriniz ve çocuklarınız için size en güvenli ürünleri sunduğumuzdan emin olsak da bizim sözümüze güvenmeyebilirsiniz. Çünkü sizin geleceğiniz olan çocuklarınızın, sizin için ne kadar önemli olduğunuz biliyoruz. Sadece bizim sözümüze güvenmediğiniz durumlarda, bağımsız oto koltuğu test kuruşlarının Maxi Cosi ürünlerine yaptığı testleri de inceleyebilirsiniz. Oto koltuklarımız ayrıca ADAC'ta bağımsız testlerden geçmektedir. Bu, Avrupa'nın önde gelen bağımsız tüketici testi kuruluşu Stiftung Warentest ile birlikte çalışan Euro NCAP tarafından akredite edilmiş birkaç test merkezinden biridir. Ve hiçbir marka bu kuruluşa ürünlerini test etmek için başvuramaz. ADAC ürünlerimizi bizden habersiz alır ve test eder.

ADAC, bir skor oluştururken iki güvenlik alanına bakar:

Dinamik Güvenlik

Bu oto koltuğu güvenlik derecelendirmesi, önden çarpma ve yandan çarpma testine dayanmaktadır. Kuvvetlerin bebek ve çocuk vücuduna etkisini ölçmek için gelişmiş sensörlere sahip bir oto koltuğu bir kukla yerleştirilir. ADAC, diğer ortaklarla birlikte, bu ölçümlere dayalı olarak nihai puanı hesaplar.

Kullanım Kolaylığı

Bu, oto koltuğunu arabaya yerleştirmekten kemerleri sıkmaya kadar uzanan beş adımı test eder. Test, yanlış kullanım ve araba koltuğunu yanlış takma riskine bakar. Bu testlerin kombinasyonu, en iyi 5 yıldız ve en kötü 0 yıldız olmak üzere bir yıldız derecelendirmesine çevrilen bir puan sağlar. Ürünlerimizin her yaş grubu için Stiftung Warentest araba koltuğu çarpışma testi derecelendirmelerinde iyi performans göstermesinden gurur duyuyoruz.

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4.6 ★★★★★
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Theophilos
Grantham, US
★★★★★ 3
Difficult read, but helpful slightly
Format: Kindle
This book was exhausting, I guess it's because I had to read it quickly for seminary. Either way I don't think the authors intended for the audience to really follow much of what they were saying, it was more like they were in a conversation of their own inner circle, kudos for trying but please make this readable next time... Quite frankly one of the authors I won't say who completely misunderstood presup's understanding of whether or not people can know things. I say that as an avid opponent of the typical presup circular argument. On a positive note, I did learn that all of them share a lot in common and some of them are not different from each other at all. Presup holds in my eyes a highly admired love for the scripture which they often attempt to paint as a separate apologetic from say classical view for example, however it isn't, and always seems to be saying it's the the only show in town. Frame did do a lot of good to show that his view is not the classical presup arrogant argument, by extending commonalities with the other views, however he highlighted the truth, from my understanding, that presup is not an apologetic it at all. It is an attitude of the heart of the apologist. Presup is inconsistent when it tries to say you cannot use evidences and you don't need to when the core of their apologetic argument is an epistemological evidence. The transcendental argument at least in the way presup apologists us it is not actually in the scripture, making it an evidence of philosophy outside the bible. This of course undermines everything they are complaining about in the other camps.
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Reviewed in the United States on January 31, 2016
I
Verified Purchase
Insight Counseling
Waukegan, US
★★★★★ 5
A soaring indictment of what really needs to be reformed in American health care
Format: Paperback
Dr. Brawley has achieved something rare in a non- fiction work. He has combined his clear passion for medicine with a fair but brutal portrayal of what is terribly wrong with our system as it presently stands. Dr. Brawley is highly credentialed and has over 30 years experience in his craft, yet he writes with a balance of humility and moral outrage that is rare in this type of work. I have been in healthcare for over 20 years and have watched horrified as the system has become more, not less broken and ineffectual while at the same time knowing that no American can really know the gaping problems of pharmacuetical companies offering medicines that have questionable merit and do real harm, the multi "tier" system of care where in general the wealthy recieve MORE care, but not necessarily better care and are often over treated for pure profit and the horrific truths about incopetent and dangerous physicians and systems allowed to treat patients while no one dares to ask for QA. "How We Harm" addresses the issues every consumer of medical services need to understand before they or someone they love becomes sick. Sadly some of the families I care for only discover how broken the system is at the moment of their greatest vulnerability- when a family member or themselves become very ill and they are left to fight insurers, billing departments and conflicting prognosises and treatment plans without a rational, science based resource to ensure they are making the right choices. Dr. Brawley describes how the "system" as it currently stands seems to know that sick consumers can not fight for their rights, and are often too frightened and overwhelmed to even ask the right questions when they face major medical decisions. Insurers will be held more accountable after ACA full implementaion in 2014, but this is clearly not enough to fix the systems that you and I the taxpayer supplement when big pharma and for profit medicine have taken all the meager resources that many Americans have to pay for their co-pays and expensive treatments for serious illness. The "system" knows that eventually Medicaid will take over payment for these desperate patients. The case illustrations Dr. Brawley presents are fair and deadly accurate. I see similar terrible outcomes all the time. The book also describes aspects of caring for the 'under served' that are spirtually affirming and make this book a very positive read for that reason alone.Dr. Brawley clearly loves to teach medical students as well and he he even seems to love his patients- a rare but amazing quality in a physician. Dr. Brawley is a national voice of reason and passion for making things right. I look forward to his next move as a leader in American medical reform.
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Reviewed in the United States on April 14, 2013
K
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Karen Mcwilliams
Natrona Heights, US
★★★★★ 5
A MUST READ BOOK ABOUT OUR HEALTH CRISES--REVIEWED BY AN EDUCATOR, PUBLISHED WRITER, AND BOOK REVIEWER
Format: Paperback
I am a former teacher, school librarian, published author, and book reviewer for the Society of Children's Book Writers and Illustrators, as well as judge and book reviewer for the IPPY and MOONBEAM BOOK Awards. Many years ago I was diagnosed with GUILLAIN-BARRE SYNDROME. Since I was diagnosed with this terrible neurological disease, I have continued to experience symptoms which I ignored while finishing my BA and MA degrees, teaching in several school systems including Department of Defense Overseas Schools, and traveling around the world. Even though I was often ill and constantly plagued with symptoms of my disease, I ignored the problems and did not see neurologists or undergo transfusions and/or infusions, as well as be a guinea pig for the huge variety of experimental drugs. I workout daily, eat nutriciously, and try to always be positive, laugh, and have fun. Many people have died from my disease. And I wonder if I am still alive due to NOT SEEING DOCTORS and undergoing UNPROVEN or FLAWED PROCEDURES and DRUGS. Dr. Brawley's book showed me that my choices probably helped me to be active and live, not experience an early death while doctors harmed me with their techniques. I have briefly reviewed Dr. Brawley's outstanding book which helped me to conclude that I made the best choices by not seeing neurologists over the years. Also, I was afraid my neurological disease would be labled a "PRE EXISTING CONDITION" which my insurance policies would not cover. Otis Webb Brawley, author of HOW WE DO HARM; A DOCTOR BREAKS RANKS ABOUT BEING SICK IN AMERICA, is an oncology (Cancer) professor at Georgia's prestigious Emory University as well as the Chief Medical and Scientific Officer of the American Cancer Society. Using personal anecdotes from past patients, Dr. Brawley illustrates many things which are wrong with our medical system as well as medical and nonmedical groups and doctors who need to totally change this system. Every page was packed with specific information about medical problems with protocol, procedures, chemotherapy, and uninformed patients who blindly follow doctors' suggestions as to the best way of treating thier cancers. Much of the medical research is flawed making it almost impossible for patients to research their diseases and make intelligent choices. It is imperative that everyone, men and their well-meaning wives, read about the patient, Ralph, whose wife urged him to get a free PROSTATE PSA TEST in a mall which led to horrendous FLAWED procedures which 'caused him misery and pain until he died an early death. Dr. Brawley thought prostate screening was not at all useful for anyone without symptoms. I also think that many tests we have are just to generate money for doctors and the groups they work for. In fact, just this week they are now saying women should not have MAMMOGRAMS every year as I did since I turned forty. Now the recommendation is for women to have mammograms every three to five years. Dr. Brawley said in his book that women more often find their own cancer, and mammograms should not be taken on a yearly basis. This book was the best nonfiction book I have read in years. But I was disappointed Dr. Brawley did not write a chapter on the FDA, though he referred to the organization many times. I was also interested in more specific information about drugs, particularly STATINS which are taken by most people over 50 even though they have many serious side effects. One chapter was titled GUILLAIN-BARRE SYNDROM but only mentioned the disease briefly. I am a former librarian, and like most librarians look for BIBLIOGRAPHIES, GLOSSARIES, INDEXES, and CHARTS and GRAPHS illustrating important things to better illustrate the text. In the back of the book Dr. Brawley does include specific NOTES about information in each chapter. I could only read a few pages of this information packed book per day, because there was so much information I wanted to retain. I urge every adult of both genders and any age to read this book. And if you are capable and not disabled, volunteer to help the various advocacy groups who are attempting to change our hea;th system. This book was published two years ago before Barack Obama presented his new health care plan, therefore there is nothing in the book about it. Dr. Brawley, I am looking forward to another book from you about the goings on at the FDA, since they release many drugs which are later involved in class action suits. Also, cholesterol and cholesterol drugs should be examined in detail like you did oncology. Also, Dr. B, please have your publisher publish this book in a LARGE PRINT EDITION!!! I first saw Dr. Otis Brawley on BOOKTV.ORG weeks ago. I was so impressed with Dr. Brawley's speech which was perfect as well as his honesty that I bought HOW WE DO HARM. Go to BookTV.org and look for the video of Dr. Brawley's speech. Karen Joan McWilliams, Naples, FL
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Reviewed in the United States on July 6, 2014
J
Verified Purchase
jwt99
Port Orchard, US
★★★★★ 5
Horror stories about health care, Breast Cancer, PSA Test
Format: Hardcover
I could not put this book down. I would say this is a must read for anyone that might get or who has cancer. Also anyone who has a chronic health problem should put this book in their library. I think Dr. Brawley gives compelling examples that illustrate how our health care systen is broken. Read this book! This is an excellent book unless you are a quack, a greed driven doctor or drug rep. Dr.Brawley points out that we should not waste valiable tax money or even insurance money on unproven cures or on drugs that cost 10-20 times as much as a proven drug. All medical care should be research based, rational and above all "do no harm". I hate to tell you this, but we as a country cannot afford to waste massive amounts of money anymore. If we don't get serious about health care it will break the country. We cannot afford to transfer wealth to quack doctors or for procedures that don't work. A spinal fusion costs about $80,000 yet 80% of the research says it does no good and it does a lot of harm. Is this any way to run a health care system? If you don't believe Dr. Brawley read the research for yourself. Use a little of your time to dig and see if he is telling the truth. A lot of the raw research is locked up tight and hard to access and not easy for a lay person to understand. We must rely on honest doctors like Dr. Brawley to tell us the truth about our healthcare system The chapters on the "PSA" test for prostate cancer were shocking to say the least. All the examples about the breast cancer problems are on point. My wife went through this several years ago and thank goodness we had a doctor whose first words were us was " I don't give any treatment that has not been through a double blind study." We feel like my wife received excellent treatment without receiving too much treatment. Too much can be as bad as too litttle as Dr. Brawley states. Dr. Brawley points out through his examples that "raw greed" on the part of hospitals, doctors and drug companies has layed waste to our health care system. The economic incentives are all on the side of more care not appropriate care. There is a vast difference between the two. Thank you Dr. Brawley.
WAS THIS REVIEW HELPFUL?YesReportShare
Reviewed in the United States on February 8, 2012
B
Verified Purchase
BostonProfessionalCouple
San Leandro, US
★★★★★ 4
Fabulous book but seems a little biased
Format: Hardcover
I read a lot on the healthcare system and also have a biology PhD and a healthcare-related career, so I read 'How We Do Harm' with real interest and found that I tremendously enjoyed it, largely due to its distinctive and refreshing down-to-earth, no-holds-barred, friend-of-the-people style attack on many different sacred cows of the healthcare system. He exposes ignorance, shysterism, laziness and other commonplace human failings AMONG HIS FELLOW PHYSICIANS, where these everyday human foibles have an enormous impact on the life and death and quality of life of the patients treated by them. And he is not just any physician, he is the Chief Medical and Scientific Officer of the American Cancer Society. It reads like the system has turned on itself. This is a 'People's History' of the current healthcare system. The language is carefully unacademic and the cases he chooses are heart-wringing for the most part. I think there is much to learn from the diverse cases he selects, and he goes after problems originating with patients and their families as well as doctors and the system. If each of the problems that Dr. Brawley characterizes were systematically addressed, we would have a somewhat better and MUCH cheaper system - I think essentially a Canadian system, even if there were multiple payors. Once everyone followed the same rules and there was little role for physician discretion, and little role for new therapies until massive clinical studies achieved definitive conclusive results, inefficiencies in the system would be dramatically reduced, and many patients would receive better care. The problem with this objective, IMHO, is that the heterogeneity of cancer and the rate of advance in this particular field would not be well-served by a system where no new therapies were paid for until they had achieved p values of <0.05 in clinical trials IN THE PRECISE PATIENT POPULATION of the patient who needs treatment. Some cancers are so rare that this would never happen. In other cases, new research information evolves in small case series that wouldn't meet Dr. Brawley's standards but would provide vital information for selection of therapy. All-in-all, Dr. Brawley appears overly philosophically committed to the concept of clinical certainty, iron-clad treatment paradigms, and saving the system money. I'm all for saving the system money, but Dr. Brawley goes after cancer screening with the dedication of a hero confronting his nemesis. He barely acknowledges the potential for good to come from screening. For example, he is dismissive of the value provided by lung cancer screening, in spite of a roughly 50,000 patient randomized controlled study that showed a 20% reduction in cancer mortality in heavy smokers who received screening! This was without even specifying how these patients were treated - the 20% reduction in the leading cause of cancer mortality was simply from looking for a spot on the lung, and then letting the doctor and patient decide what treatment to pursue. I see that as a tremendous breakthrough. Dr. Brawley sees it as a roughly even set of risks and benefits that the system presumably should hesitate to fund. (Updated August 2013 to note that the U.S. Preventive Services Task Force has now issued a strong recommendation for CT screening of heavy smokers for early detection of lung cancer, based primarily on the data above. "As many as 20,000 deaths a year could be prevented by screening", according to Michael LeFevre, MD, co-vice chair of the task force). The book is well worth reading; but there are other intelligent, reasonable viewpoints on the burning thesis presented by this book, and one unfortunately comes away with the impression that Dr. Brawley would not acknowledge this. I found myself comforted by the fact that other checks and balances in the system will limit Dr. Brawley's impact on cancer treatment paradigms, even with his role at the ACS.
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Reviewed in the United States on June 20, 2012

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