Freakonomics, M.D.

53. Why Do Doctors Have to Play Defense?

Sep 16, 2022
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INSIGHT

Defensive Medicine Definition

  • Defensive medicine is driven by doctors' desire to reduce lawsuit risk, not always clinical judgment.
  • This can lead to unnecessary tests or procedures, generating waste without benefiting patients.
INSIGHT

Defensive Medicine vs. Malpractice System

  • The malpractice system aims to deter negligence, not necessarily encourage extra tests.
  • Defensive medicine goes beyond deterrence, leading to wasteful or harmful practices.
ANECDOTE

Pennsylvania Survey

  • A 2003 survey in Pennsylvania, amidst a malpractice insurance crisis, revealed that 93% of physicians practiced defensive medicine.
  • 42% engaged in avoidance behaviors, like refusing high-risk patients, due to liability concerns.
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