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The doctors' lobby says capping malpractice suits will make healthcare cheaper. I'm an M.D. and I don't believe it
BY RAHUL K. PARIKH, M.D.
Flu season has come early and I'm writing far too many prescriptions for Tamiflu. I'm trying my best to adhere to the guidelines set by the Centers
for Disease Control for who should get the drug (kids under 5 years of age, or kids who have a chronic illness like asthma or diabetes). But in more
than a few instances, I've ignored the guidelines and given Tamiflu to perfectly healthy kids with no risk factors for influenza-related
complications.
Part of the reason I'm writing so many extra prescriptions stems from stories about healthy people getting sick with H1N1 and ending up critically
ill or dead. One of those stories aired recently on "60 Minutes" -- a healthy high school football player in Arkansas developed a fever after a
game. He went to his doctor, who thought he had a garden variety flu and sent him home. Two days later, the boy collapsed and was airlifted to the
nearest pediatric intensive care unit. He developed a bacterial pneumonia on top of his H1N1 flu, which led to severe damage to his lungs. He
couldn't breathe on his own, so he remains in the ICU on a ventilator.
Please visit the link provided for the complete story.
This doctor, surprisingly, is not for tort reform and does not believe that doctors performing "unnecessary" procedures or practicing defensive
medicine are really wasteful or the causes of the escalating health care costs in this country. He maintains that there are fewer malpractice suits
than is popularly believed and that they are usually not frivolous. He estimates about 15 out of 100 doctors will be sued, and that is probably a
good representation of the number of doctors who actually make mistakes or are simply incompetent.
This is eye-opening to me, as I always thought many doctors were in favor of tort reform and against an overhaul of the health care system.
[edit on 27-10-2009 by Sestias]