USA Today ran a disturbing article with a dramatic title earlier this week: Dangerous Doctors Allowed To Keep Practicing.
Before you stumble backwards, reeling from shock, be assured that the article is talking about a minority of doctors. Most physicians are solid, well-trained and educated professionals who are dedicated to providing optimal care to their patients.
Like any group of professionals, there are a few bad apples among them. The problem, and the focus of the USA Today article, is that the medical industry does such a poor job of disciplining its incompetent doctors that innocent patients remain vulnerable to their errors. That is the tragedy that continues to go unaddressed. Hospital administrators, heads of disciplinary boards, and the insurance companies that provide malpractice insurance to doctors know which doctors have provided substandard care in the past, and therefore, which of them are likely to injure or kill patients in the future.
And they usually fail to corral such wayward doctors, unless a particular case attracts enough negative press to force their hands.
USA Today’s investigation found:
“the nation’s state medical boards continue to allow thousands of physicians to keep practicing medicine after findings of serious misconduct that puts patients at risk”; and that “[e]ven the most severe misconduct goes unpunished: Nearly 250 of the doctors sanctioned by health care institutions were cited as an ‘immediate threat to health and safety,’ yet their licenses were not restricted or taken away.”
And transparency is not something the medical establishment is particularly fond of. While there is a public file, the National Practitioner Data Bank, that is supposed to receive reports whenever any of the nation’s doctors face “adverse actions,” the public cannot view any identifying information about a particular doctor. Perversely, the only people who have full access to such information are part of the very medical boards and hospitals that are supposed to be protecting the public from incompetent doctors, and who continue to fail to do so.
Not surprisingly, it’s only getting worse, as is illustrated by the stonewalling being encountered by Public Citizen, one of the most tenacious consumers’ rights groups in the country. USA Today found that the “Federation of State Medical Boards has stopped issuing medical board enforcement data that Public Citizen uses to rank the rate at which different boards discipline physicians.”
Why does this sad state of affairs continue?
The reasons given in the article are disturbing: red tape, hospital politics, the chronic failure to report doctors to the Data Bank. In my own experience, while I was still working on the defense side, I recall multiple lawsuits filed over multiple poor outcomes following surgery by a “renowned” surgeon who attracted big business to a particular hospital. He may have once been excellent at his job, but the facts suggested that if there had been such a period, it was far behind him. Yet he was kept on, and even celebrated by the hospital, in its ad campaigns. If I were as cynical as my friends and family think I am, I might suggest that the medical industry can be a profit-driven business like any other, and that cash flow is sometimes valued over patient safety. But I would never suggest such a thing.
What can you do? Given the current news headlines, there have been few more opportune times to call for greater transparency from the medical industry. Sure, transparency in government, and in the NSA is valuable. But so is the transparency that would allow U.S. consumers of medical care to protect themselves from avoidable, predictable injuries and deaths.
Electronic cigarettes, known as “e-cigarettes,” are all over the news. Some laud their use in helping long-time smokers quit. Others, particularly in the healthcare community, urge consumers to be aware that despite the claimed benefits of using e-cigarettes, they still harm the lungs of users. However, as the article notes, “[t]he medical profession and scientists generally agree that e-cigarettes, if they do pose any dangers to health, are much less harmful than tobacco smoking.”
But what if your e-cigarette does more than just emit pleasant, nicotine-infused water vapor? What if one of the necessary accoutrements exploded and burned you? (There are lots of them, you would find, if you pulled up the VapCigs website on your browser.) While the VapCigs site promises to deliver “everything you need to join the e-cigarette revolution,” readers probably do not envision actual instruments of war, such as flamethrowers.
But perhaps they will from now on. Consider the case of a California couple. While driving to the airport, Jennifer Ries was charging her e-cigarette’s rechargeable battery, until a strange smell alerted her to liquid dripping from the same battery, according to CBSlocal.com. When she tried to unscrew it, it shot flames toward her causing second degree burns to her lower body. Ms. Reis and her husband, who was driving, have sued the retailer of the VapCigs and its equipment, as well as the manufacturer, VapCigs. And their attorney, Gregory Bentley, has some issues with the e-cigarette industry, and the FDA. He says that “[r]ight now…the FDA is regulating this whole industry as a tobacco product, so all of the component parts, including the battery, the charger, and so on, are not tested for safety.”
Why not, FDA?
As readers of this blog know, I’m not a fan of texting while driving, or doing anything else that might distract you from the task at hand–safe driving. That includes using your cell phone, whether hands free or not. It includes making adjustments to your rockin’ music system, if it’s complicated enough. But even simple tasks have caused significant harm. One friend, who shall remain anonymous, crashed his new car while looking down from the road for a moment to find a CD to insert into his music system. Luckily, he was fine. His car was not. Obviously, it ‘s also a good idea to avoid parenting habits that include spinning around to stare at the misbehaving kid in the back seat while yelling, “One more word from you and you’re walking home!” Eyes on the road, not the bratty kid.
But maybe cell phone use, texting, knitting-while-driving, etc., are being unfairly targeted. Obviously, they play a role, and there is no question that countless accidents and injuries have come about by the distraction their use played for the driver. But in my own experience–which does not include texting while driving now–the last time I ran a stop sign because I was oblivious to it was when I was completely occupied about a work issue. I was not doing anything that might have distracted me from my ostensible focus on the road. I didn’t even have the radio on. And I was lucky to have avoided hitting anybody.
So maybe we all need to take a moment of reflection before getting behind the wheel, to make sure we are not about to engage in the type of distracted driving that only we can see. Clearly, you don’t need to text or talk to be distracted. If your mind is elsewhere, one place you know it won’t be is on the road. Wait a few minutes. Take some deep breaths. Ask your spouse/kid/friend to drive. Or call a cab if necessary.