We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Low “T” as in “Template” How to Sell Disease

Lisa M. Schwartz, MD, MS1,2,3; Steven Woloshin, MD, MS1,2,3
[+] Author Affiliations
1VA Outcomes Group, Department of Veterans Affairs Medical Center, White River Junction, Vermont
2Center for Medicine and the Media, Dartmouth Institute for Health Policy and Clinical Practice
3Norris Cotton Cancer Center, Lebanon, New Hampshire
JAMA Intern Med. 2013;173(15):1460-1462. doi:10.1001/jamainternmed.2013.7579.
Text Size: A A A
Published online


Mr Ferguson, a healthy 55-year-old man without active problems, is in your office for his annual checkup. He tells you that he has no problems and feels fine.

“Well,” his wife chimes in, “he has been a little grumpy. Especially since Sammy—our son—starting beating Shaun here in their one-on-one basketball games.”

“Of course, I'm grumpy. We bet on a game and now I have to do the lawn,” Shaun says, shaking his head. “Takes forever, and it's exhausting.”

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment
The Medical-Industrial Complex
Posted on August 15, 2013
Michael Mundorff
Primary Children's Medical Center
Conflict of Interest: None Declared

Why can't anyone and everyone make testosterone topical gels, driving most of the profit motive out of the system? Testosterone is not a patentable chemical entity, nor is whatever topical vehicle is used for its delivery -- or at least shouldn't be. (The gel ingredients are not specified in the full prescribing information.)

Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

17 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Techniques to measure testosterone in the elderly. Mayo Clin Proc 2000;75 Suppl():S19-25.

Users' Guides to the Medical Literature
From Evidence to Recommendations

Users' Guides to the Medical Literature
Overall Confidence in Effect Estimates