There are three possibilities. 1) Extreme cases are pervasive 2) Extreme cases occur but are rare 3) Extreme cases never happen Aside from the absurdity of

There are three possibilities. 1) Extreme cases are pervasive 2) Extreme cases occur but are rare 3) Extreme cases never happen Aside from the absurdity of abusing statistically-defined adjectives, I'll assume you know what I mean. The health care industry is BIG. Things happen a lot, even if they're only 0.01% of the time. I haven't seen any proof that indicate (1) is true, previous shock post included. And if it's not, it's not the most important problem to focus on. In contrast to, say, the incentives you note.