To: Wharf Rat who wrote (134359 ) 6/13/2013 4:18:18 PM From: John Vosilla Respond to of 149317 A Costly Defense: Physicians Sound Off on the High Price of Defensive Medicine According to surveys by Jackson Healthcare and Gallup, physicians estimate that defensive medicine practices cost the U.S. between $650 – $850 billion annually. Beginning in October 2009, Jackson Healthcare began a series of surveys with thousands of physicians from all specialties across the U.S. to quantify and qualify the economic and noneconomic impacts of defensive medicine. This eBook summarizes the findings of a series of national physician studies on defensive medicine. Statistics in this eBook have been used up by CNN, Newsweek and other respected media channels.The American Consumer Insitute for Citizen Research: Defensive Medicine May Cost Consumers Money and Good Treatment Doctors make mistakes. There are misdiagnoses and inappropriate treatments in 15% of patient illnesses , which results in almost 100,000 deaths each year. With yearly health care costs nearing $2.5 trillion, the 15% error rate suggests up to $375 billion may be spent in inappropriate treatments. Doctors don’t understand medicine perfectly and they cannot predict all the physiological interactions. Sometimes patients have unexpected poor outcomes and sometimes doctors err. Regardless of the path to injury, doctors are acutely aware of punitive lawsuits and insurance costs ($3,000 to $201,000 per year) . The AMA says 93% of physicians practice defensive medicine to lower the chance of being sued . Doctors avoid “risky” treatments such as trauma surgery or traditional childbirth ,thus withholding appropriate medical treatment. They avoid patients who are likely to be litigious. They conduct extra, unneeded tests and seek unneeded second opinions to build a thicker defense in case they are sued. They also hospitalize patients to reduce liability risk . Defensive medicine costs were estimated at $70 billion per year in 2000 and $191 billion to $239 billion in 2008 , but the direct cost of liability insurance and jury awards is in the tens of billions of dollars. Patients and taxpayers ultimately pay for both defensive medicine and liability costs. Contrary to popular ignorance, the costs don’t disappear into the insurance cloud.Sanjay Gupta: “More is Not Always Better” Defensive medicine practices may contribute to the staggering number of medical mistakes in the United States, according to Dr. Sanjay Gupta. In a New York Times column, Gupta notes that such mistakes kill an estimated 200,000 Americans every year, making them one of the leading causes of death. “Herein lies a stunning irony,” he writes. “Defensive medicine is rooted in the goal of avoiding mistakes. But each additional procedure or test, no matter how cautiously performed, injects a fresh possibility of error.” The solution doesn’t rest solely with eliminating defensive medicine, but if doctors are asked to justify the tests they order and the procedures they perform, perhaps they will be reminded that more is not always better, he said.defensivemedicine.org