Point taken, thanks. Litigation does have a preventative effect, but I only see its effects at a more macro, large-scale level, like removal of Vioxx from the

Point taken, thanks. Litigation does have a preventative effect, but I only see its effects at a more macro, large-scale level, like removal of Vioxx from the market. We are lacking more effective micro, local-scale incentive mechanisms to effect change more incrementally instead of waiting for a generation of doctors to pass through, or for the nuclear blast from litigation to blunt-force change the medical landscape. Just as basic hygiene was the game changer for public health and increasing median lifespans in the past several centuries, I anticipate a smaller, basic change like checklists will in hindsight materially, beneficially alter medical cost and delivery outcomes. Own technical fields faces similar challenges, so this is I suspect a very human gap.