> > Its the lawyers, too.
> 
> It's in the article too:

Essentially, it boils down to too many people not accepting their
conditions, demanding additional treatment, or suing when they realize that
someone "could have" done something sooner.  The patients, the lawyers, and
the doctors have setup a feedback loop.  As a result, the doctors end up
doing way more than than really need to in many cases, which drives up the
demand/cost for those additional procedures and services.  Where 15 years
ago someone would come in, and the doctor would check them out and send them
home with some pain meds, they are now ordering a full battery of tests and
procedures, many of which are really not necessary.  But, they feel it is
justified because in the one case out of 1,000, those tests will catch
something that a usual check wouldn't, so they've helped that one extra
person and potentially avoided a theoretical lawsuit (and they get paid
more).  At what cost though?  Those other 999 tests weren't needed and
didn't do anything but cost everyone more money.

It goes back to the recent discussion about aircraft safety.  How much more
should we spend on something that might save an extra life over a given
period of time?  The value is somewhere between nothing and infinity, so "as
much as it takes" really isn't a valid argument.  At present, that value in
medicine is starting to reach a point where it is no longer sustainable
(maybe it already has?).


-Justin


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