Waste in the United States health care system owing to overtreatment or low-value care is estimated at $75.7 billion to $101.2 billion.¹ These estimates are likely a fraction of the actual spending because “tests beget tests” and often unnecessary procedures. Thus, patients are placed at significant risk associated with low-value care, with harms including increased anxiety, wasted time, missed work, and serious injury or death from treatment, with little or no chance of benefit. Several campaigns, including the Less is More series in JAMA Internal Medicine² and the American Board of Internal Medicine Foundation’s Choosing Wisely campaign,³ seek to highlight and decrease use of low-value care.

由于过度治疗或低价值护理，美国医疗保健系统中的废物估计为757亿美元至1012亿美元。¹这些估算值可能只是实际支出的一小部分，因为“测试导致测试”和通常不必要的程序。因此，患者被置于与低价护理相关的重大风险中，其危害包括焦虑增加，时间浪费，工作错过，治疗造成严重伤害或死亡，几乎没有或没有受益的机会。几项运动，包括《JAMA内科学》^2中的“少即是多”系列和美国内科学委员会基金会的“明智选择”运动^3，旨在强调和减少低价值医疗的使用。