Melody Petersen See book keywords and concepts | This secrecy is systemic, and it works to protect bad doctors and bad drugs, just as today's medical industry has shown it prefers.
But there is one system, woefully underfunded and weak, that collects deaths and injuries from prescription drugs. The system, called Med-Watch, runs on a voluntary basis. The government encourages doctors to file a MedWatch report whenever a patient is harmed by a drug, but there is no law requiring them to do so. The FDA, which operates the system, has no way of knowing how many of the injuries caused by drugs actually get recorded. | Bill Sardi See book keywords and concepts | Doctors, yes, I'm sure there are bad doctors out there, but not my family doctor, not the wonderful Mayo Clinic-trained oncologist who is taking care of me now."
Then it struck me.
I realized patients want treatment, and hope. They don't want to hear the harsh realities of cancer, even if the treatment is ineffective. "Don't leave us with nothing to hope for" is what is on many cancer patients' lips. | Shannon Brownlee See book keywords and concepts | It's tempting to lay all medical error at the feet of bad doctors, but that can't be the whole story, as Harvard surgeon Atul Gawande points out, for the simple reason that good doctors make mistakes too. Studies of specific types of medical error suggest that it is not just a small subset of doctors who commit them, a rotten few who are responsible for all the problems. Rather, every physician is destined to make at least one horrible mistake in the course of a career—and most will carry the memory and shame of it for the rest of their lives.
It isn't just doctors who err. | | Malpractice law needs an overhaul for many reasons, not the least of which is its failure to punish and weed out bad doctors, and to compensate patients who are harmed by medical error. But most discussions of malpractice reform have yet to consider patients' need for more balanced and evidence-based information.
Things are beginning to change. The state of Washington recently passed a bill that recognizes the legal status of informed patient choice. | Jane M. Orient, M.D. See book keywords and concepts | True, there are bad doctors, just as there are bad lawyers and bad senators and bad mechanics. But what if the bad guys have the best political skills? Bad legislators often get reelected, term after term. What if bad doctors gain control of the peer review committees? The community might end up with the Titipu solution.
In Titipu, scene of Gilbert and Sullivan's Mikado, the emperor (like Ralph Nader) was upset because no one had been beheaded recently. | Paul A. Offit, M.D.m Bonnie Fass-Offit, M.D. and Louis M. Bell, M.D. See book keywords and concepts | Worse, lawsuits don't separate bad doctors from good doctors. In fact, the opposite is true. National records of lawsuits indicate that doctors who take care of very sick patients (meaning doctors that work in hospitals) are more likely to be sued than doctors who don't take care of very sick patients. The reason for this is simple: doctors usually get sued for bad outcomes and not bad care. The sicker the patient, the more likely the bad outcome.
What makes life even harder is that doctors can be sued for mistakes of judgment. | Jane M. Orient, M.D. See book keywords and concepts | There are bad doctors, and there are others who are not as efficient, cost-conscious, or cooperative (compliant) as they should be. The idea is to force them to be better. Yes, the actual word force is used, although sometimes it is called "education" or "incentives."
Two of the "bad" character traits that need fixing are: a tendency toward deviance (wanting to do things their own way) and greed (wanting to be paid for their work).
This chapter will describe some of the reform-school methods that doctors are now experiencing. | | What if bad doctors gain control of the peer review committees? The community might end up with the Titipu solution.
In Titipu, scene of Gilbert and Sullivan's Mikado, the emperor (like Ralph Nader) was upset because no one had been beheaded recently. So the community appointed a new Lord High Executioner named KoKo, who was the next person in line for execution for the capital crime of flirting. |
Attaining Medical Self SufficiencyDuncan Long See book keywords and concepts | | But it now appears that there is one place that many bad doctors go to in order to hide their incompetence.
That place is the US military's hospitals and clinics.
During the last few years, several newspapers have done intensive investigations into this situation and have come up with horror stories that should discourage anyone from ever seeking help from a military doctor. Perhaps the most persuasive articles were published in the Dayton Daily News where reporters did a year-long study of thd situation. |
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