Spot on analysis. The complexity of the human factor, for want of a better term, in healthcare is so hard to measure. I can only relate it to what I know. That

Spot on analysis. The complexity of the human factor, for want of a better term, in healthcare is so hard to measure. I can only relate it to what I know. That is, I work with several paramedics that are just "good" at differential diagnosis. They would probably be excellent doctors, but life didn't deal those cards in. I also work with "meh" paramedics that, if given the choice, I wouldn't want taking care of my family. They do an adequate job to the bare minimum standard set, but they are not great by any stretch of the imagination. Both paramedics charge the same and carry the same title. Both could miss something critical, or not. The fact is they are both humans practicing paramedicine. Until we automate the variability out of healthcare, we are stuck with inconsistent results. Consider that roughly 70 years ago, lobotomies were considered a valid medical procedure for psychiatric problems including anxiety and depression.