On Thursday 07 December 2006 20:07, Cedric Meyerowitz wrote:
> But the lawyers & judges wouldn't be doing these illogical actions if the
> patient who was given the referral in their hand, didn't decide to sue the
> Doctor.  So we must firstly blame the patient.

If the patients wouldn't have been led to believe that this whole litigation 
system is nothing but a goddam lottery where you can win far more than you 
could ever earn in your life by continuing to work hard, and where there is 
so little to loose (from the patients point of view ...) it would never have 
come that far.

Of course, our own profession is partially to blame too. Inaction, arrogance, 
paternalistic behaviour, denial when something wrong was done, 
cover -up-and-kill-the-whistle-blower mentality etc.

I (as probably all of my colleagues) have witnessed patients coming to harm 
through negligence and never contemplating legal action. I have witnessed 
even more patients coming to harm through negligence and not even being aware 
of it. But I have also witnessed a share of patients who openly admitted to 
me that they sued a colleague (successfully) because some solicitor told them 
over a glass of beer what could be in for them, and that it is only the 
insurance who will pay and not the doctor, etc - admitting that they were 
convinced the doctor had not done anything wrong.

The whole system is so rotten that I should have been able to smell the stench 
from Europe before coming here. But then, 9 years ago, it was nowhere near as 
bad as it had become 5 years ago - the wild, wild west of litigation lottery. 
Never try to tell me that it was not the legal system's fault!

If a judge says that a patient who refuses to follow a doctors advice (and 
this is well documented) and comes to harm as a consequence (eg by not 
attending appointments) deserves any compensation from that doctor at all - 
in my opinion such judge should be strapped to a rack, subjected to 30 
lashes, and then put onto janitor duties or similar kind of work where he 
cannot do harm to society any more.

The following statements are presuming patients of sound mind and age:

Recall systems should be *optional*. A distinguishing service provided by 
health professionals, at their discretion at additional cost or as 
professional courtesy - and not a "right" somebody can sue for.

Referrals should be *professional advice*, which the patient can either take 
or ignore - but the patient and nobody but the patient should be liable for 
the outcome of ignoring the advice (if a patient actually follows my advice 
and comes to harm because of this, then of course it is *my* responsibility 
and I should be liable for the outcome - but not acting as a nanny and not 
enforcing compliance with my advice should NEVER lead to any repercussions 
against me)

Horst
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