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...

VIDEO: Choosing Wisely and Encouraging Effective Treatment

Healthcare Triage briefly presents the notion that we should "stop doing things that don't work" in medicine. In the United States, vast amounts of money are being wasted on unnecessary care. Fortunately, the Choosing Wisely campaign helps enable patients and providers to take part in "reducing spending without negatively affecting quality of care."

In Canada, it is framed a little bit differently. We focus mostly on preventing harm and promoting high quality care. We expect that there will be significant financial benefits to the system from working in this way but saving money is not the primary motivation behind the Choosing Wisely Canada campaign. 

There are also some things the campaign (whether in the US, Canada, or elsewhere) doesn't address, like the fact that people respond to financial incentives and if we do not change the way health care providers are paid, they will continue to do unnecessary things to patients simply for the monetary gain (in direct violation of medical professionalism and most would say the Hippocratic Oath).

See the video here:

Source: https://www.youtube.com/watch?v=E505JhAIfp...