{"id":481,"date":"2009-11-10T16:33:00","date_gmt":"2009-11-10T20:33:00","guid":{"rendered":"http:\/\/blog.cmhughesmd.com\/?p=481"},"modified":"2009-11-10T16:33:00","modified_gmt":"2009-11-10T20:33:00","slug":"how-to-reform-the-broken-medical-malpractice-system-by-darshak-sanghavi-slate-magazine","status":"publish","type":"post","link":"http:\/\/blog.cmhughesmd.com\/?p=481","title":{"rendered":"How to reform the broken medical malpractice system. &#8211; By Darshak Sanghavi &#8211; Slate Magazine"},"content":{"rendered":"<p><a href=\"http:\/\/www.slate.com\/id\/2235027\/pagenum\/all\/\">How to reform the broken medical malpractice system. &#8211; By Darshak Sanghavi &#8211; Slate Magazine<\/a><\/p>\n<blockquote>\n<p>For many doctors, the <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/extract\/291\/1\/15\" target=\"_blank\" rel=\"noopener noreferrer\">malpractice case<\/a> against a family physician named Daniel Merenstein epitomized how the broken medical liability system drives up costs. In 1999, Merenstein, then a resident, saw a 53-year-old man for a routine checkup and discussed with him the dubious value of a blood test to screen for prostate cancer. Since the test leads to many false positives and pointless treatments that can cause impotence and other harm, neither the <a href=\"http:\/\/www.cancer.org\/docroot\/ped\/content\/ped_2_3x_acs_cancer_detection_guidelines_36.asp\" target=\"_blank\" rel=\"noopener noreferrer\">American Cancer Society<\/a> nor <a href=\"http:\/\/www.cdc.gov\/cancer\/prostate\/informed_decision_making.htmhttp:\/www.cdc.gov\/cancer\/prostate\/informed_decision_making.htm\" target=\"_blank\" rel=\"noopener noreferrer\">U.S. Public Health Service<\/a> support its routine use. Presented with the data, the patient chose not to get the test. <\/p>\n<p>When the man later developed prostate cancer, he sued Merenstein and the residency training program and ultimately won $1 million. According to the plaintiff&#8217;s attorney, the doctor should have ignored the evidence-based national guidelines and not even have given the patient the choice to refuse the test. <\/p>\n<\/blockquote>\n<p><em>This is the same story told on This American Life last month, and it is quite disturbing. In my &#8220;to-do list&#8221; for health care reform, medical liability reform is relatively low on my list*, but this story gives me pause.<\/em><br \/><em><\/em><br \/><em>I hope we can address this and make following guide lines in good faith a reason to dismiss a lawsuit. For more information on guidelines and Comparative Effectiveness Research in action, <\/em><a href=\"http:\/\/www.newamerica.net\/blog\/new-health-dialogue\/2009\/states-comparative-effectiveness-minnesota-16080\"><em>go here.<\/em><\/a><br \/><em><\/em><br \/><em>*Caps are not even on my list, but there are many other things we can do that benefit patients AND physicians, as outlined in this Slate article, and <\/em><a href=\"http:\/\/cmhmd.blogspot.com\/2009\/09\/tort-reform-does-not-necessarily-equal.html\"><em>by the AMA.<\/em><\/a><br \/><em><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>How to reform the broken medical malpractice system. &#8211; By Darshak Sanghavi &#8211; Slate Magazine For many doctors, the malpractice case against a family physician named Daniel Merenstein epitomized how &hellip; <a href=\"http:\/\/blog.cmhughesmd.com\/?p=481\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;How to reform the broken medical malpractice system. &#8211; By Darshak Sanghavi &#8211; Slate Magazine&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"sfsi_plus_gutenberg_text_before_share":"","sfsi_plus_gutenberg_show_text_before_share":"","sfsi_plus_gutenberg_icon_type":"","sfsi_plus_gutenberg_icon_alignemt":"","sfsi_plus_gutenburg_max_per_row":"","footnotes":""},"categories":[45,85],"tags":[],"class_list":["post-481","post","type-post","status-publish","format-standard","hentry","category-medical-liability","category-practice-variation"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=481"}],"version-history":[{"count":0,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=\/wp\/v2\/posts\/481\/revisions"}],"wp:attachment":[{"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=481"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/blog.cmhughesmd.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}