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Risk Prediction Versus Diagnosis: Preserving Clinical Nuance in a Binary World
TO THE EDITOR:
Vickers and colleagues (1) neglected to mention the greatest impediment to implementing predictions: Physicians practice in a binary world driven by diagnosis. Those who pay for health care profit from risk management and care little for clinical nuance. A diagnosis of hypertension has a direct impact on the premium that a patient will pay for health or life insurance—whether the hypertension is benign (International Classification of Diseases code 401.1) …
