Later On

A blog written for those whose interests more or less match mine.

Archive for August 22nd, 2010

Weight note

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My morning weight on Friday, 30 July, was 232.0 lbs (105.5 kg).

My morning weight on Friday, 20 August, was 231.9 lbs (105.4 kg).

I am so glad that I got the nutrition counselor. I would simply have given up without that monitoring and advice. We tried minimizing caloric intake, and the counselor (along with both my daughters) said that my goals could not be reached via diet alone: exercise—and exercise to the point of huffing and puffing—was essential. I finally started the exercise, and weight loss promptly resumed.

Once again I learn the lesson. 🙂

Morning weight today: 228.3 lbs (103.8 kg).

Written by Leisureguy

22 August 2010 at 12:14 pm

Posted in Daily life, Fitness

Nordic Track

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12 minutes on ski machine, no stops. TYD recommends that I stick to 12 minutes for one more week, and since I seem to be losing weight again, why not?

Written by Leisureguy

22 August 2010 at 10:25 am

Posted in Daily life, Fitness

Medical malpractice lawsuits

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I have an on-going dialogue with a gastroenterologist about the problems stemming from medical malpractice. From a practicing doctor’s point of view, the problem is seen as enormous insurance premiums. These, of course, are in fact a symptom of the number of medical malpractice lawsuits, so the medical profession (and the GOP) seek to sharply limit those lawsuits by capping awards at a relatively low level ("tort reform"). But, again, the number of medical malpractice lawsuits is but a symptom of the amount of medical malpractice.

Doing "root-cause analysis" means finding the root causes of a problem so that those can be attacked. And what is a "root cause"? It’s a cause that you can do something about. When the medical profession looks at insurance premiums and tries to tackle that problem by changing the civil law system, they clearly have not done root-cause analysis.

Tom Baker, a law professor at the University of Connecticut who studies insurance, wrote a book: The Medical Malpractice Myth. Ezra Klein reviewed it for Slate. From the review:

. . . The best attempt to synthesize the academic literature on medical malpractice is Tom Baker’s The Medical Malpractice Myth, published last November. Baker, a law professor at the University of Connecticut who studies insurance, argues that the hype about medical malpractice suits is "urban legend mixed with the occasional true story, supported by selective references to academic studies." After all, including legal fees, insurance costs, and payouts, the cost of the suits comes to less than one-half of 1 percent of health-care spending. If anything, there are fewer lawsuits than would be expected, and far more injuries than we usually imagine.

As proof, Baker marshals an overwhelming array of research. The most impressive and comprehensive study is by the Harvard Medical Practice released in 1990. The Harvard researchers took a huge sample of 31,000 medical records, dating from the mid-1980s, and had them evaluated by practicing doctors and nurses, the professionals most likely to be sympathetic to the demands of the doctor’s office and operating room. The records went through multiple rounds of evaluation, and a finding of negligence was made only if two doctors, working independently, separately reached that conclusion. Even with this conservative methodology, the study found that doctors were injuring one out of every 25 patients—and that only 4 percent of these injured patients sued.

The Harvard study stands for a large body of literature. On their own, however, the results don’t disprove the Republicans’ thesis that many medical malpractice suits are frivolous. Maybe badly injured patients don’t sue, while the reflexively litigious clog up the legal system, making tort reform a viable solution. But a new study, released in May, demolishes that possibility. Dr. David Studdert led a team of eight researchers from Harvard School of Public Health, Brigham and Women’s Hospital, and the Harvard Risk Management Foundation* who examined 1,452 medical malpractice lawsuits. They found that more than 90 percent of the claims showed evidence of medical injury, which means they weren’t frivolous. In 60 percent of these cases, the injury resulted from physician wrongdoing. In a quarter of the claims, the patient died.

When baseless medical malpractice suits were brought, the study further found, the courts efficiently threw them out. Only six of the cases in which the researchers couldn’t detect injury received even token compensation. Of those in which an injury resulted from treatment, but evidence of error was uncertain, 145 out of 515 received compensation. Indeed, a bigger problem was that 236* cases were thrown out of court despite evidence of injury and error to patients by physicians. The other approximately 1,050 cases, in the research team’s opinion, were decided correctly, with damage awards going to the injured and dismissal foiling the frivolous suits.*

Nor is there evidence to show that the level of jury awards has shot up. A recent RAND study looked at the growth in malpractice awards between 1960 and 1999. "Our results are striking," the research team concluded. "Not only do we show that real average awards have grown by less than real income over the 40 years in our sample, we also find that essentially all of this growth can be explained by changes in observable case characteristics and claimed economic losses."

Which brings us back to the Republicans’ and Democrats’ divergent approaches. The Obama-Clinton legislation fits well with Studdert’s and RAND’s findings. It also builds on successful efforts by the nation’s anesthesiologists and a few hospitals to reduce their medical malpractice payouts.

Anesthesiologists used to get hit with the most malpractice lawsuits and some of the highest insurance premiums. Then in the late 1980s, the American Society of Anesthesiologists launched a project to analyze every claim ever brought against its members and develop new ways to reduce medical error. By 2002, the specialty had one of the highest safety ratings in the profession, and its average insurance premium plummeted to its 1985 level, bucking nationwide trends. Similarly, feeling embattled by a high rate of malpractice claims, the University of Michigan Medical System in 2002 analyzed all adverse claims and used the data to restructure procedures to guard against error. Since instituting the program, the number of suits has dropped by half, and the university’s annual spending on malpractice litigation is down two-thirds. And at the Lexington, Ky., Veterans Affairs Medical Center, a program of early disclosure and settlement of malpractice claims lowered average settlement costs to $15,000, compared with $83,000 for other VA hospitals…

Written by Leisureguy

22 August 2010 at 7:32 am

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