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...

The CMPA: "Striking the proper balance"


The Canadian Medical Protective Association (CMPA)'s most recent Perspective magazine has, on the cover, an article entitled The right test at the right time: Striking the proper balance (read here).

This is the first time I've seen the organization, which provides medico-legal advice, education, and assistance to its paying physician members, tackle the subject head-on. They have indirectly contributed to this body of knowledge in the past, exploring the concept of 'defensive medicine' and providing references for physicians dealing with the question of providing futile medical care, for example.

For the CMPA to open this article by emphasizing "fiscal prudence" shows that the organization has the freedom to comment in a way that other Canadian organizations find politically uncomfortable. Many others, the Canadian Medical Association (CMA) included, suggest that improved cost will be a result of appropriate care though it is not considered a guiding factor.

The reality is that we all want the same thing: better care for patients, less risk, and a lower cost so that we can sustain high-quality care. Hearing the same message from such a diverse array of medical, political, and citizen groups – in Canada and around the world – breeds hope that we are getting closer to creating the system we envision.