I love Healthcare Triage! VIDEO: Malpractice, Healthcare Costs, and Tort Reform

Dr Aaron Carroll (@aaronecarroll) & Co. are amazing!

Healthcare Triage (@HCTriage) has a YouTube channel that hosts a range of videos, most of which pertain to the "Less is More in Medicine" movement. The Less is More blog has featured their work before, 1) when Healthcare Triage did a video about Choosing Wisely, and 2) when Dr Carroll wrote Why Survival Rate Is Not the Best Way to Judge Cancer Spending for Upshot in the NY Times. In early June, they posted another great video, busting some major medico-legal myths.

One of the main excuses physicians make for ordering too many tests and treatments is that they have to practice defensive medicine. You must 'cover your ass' (CYA) to ensure nothing is missed, lest you face a horrible lawsuit. Physicians pay a ransom to malpractice insurance in order to help protect their reputation (and earnings) should a case come forward.

Many frivolous lawsuits exist and a lot of poor care is not legally pursued. Physicians think that tort reform will solve everything. Not so. Watch the video to learn more:

Source: https://www.youtube.com/watch?v=sK-E_d1MGt...

Why Survival Rate Is Not the Best Way to Judge Cancer Spending

The New York Times has a great piece on their Upshot blog about assessing value when it comes to testing and treating cancer. It can be very challenging to measure whether the money we spend on health care is providing good return, making a meaningful improvement for patients.

We want every dollar we spend to help people live longer and higher-quality lives. However, when data of survival rate is examined, it may lead to inaccurate conclusions about the effectiveness and worth of a test or treatment.

The Upshot expands upon Why Survival Rate Is Not the Best Way to Judge Cancer Spending. Dr Carroll explains how statistics - particularly the parameter of 'survival rates' - can mislead us into thinking we are helping patients, but because of lead-time bias and overdiagnosis bias, what we are measuring as "success" is not actually translating into improvement for the patient. Our mis-guided spending is leading to the point where we do not have money to spend on more impactful interventions. 

Read the article for clear explanations of these biases with illustrative examples, and consider that by focussing on the wrong measures, "we may be getting far less for our money then we think."

Source: http://www.nytimes.com/2015/04/14/upshot/w...