This already happens in some select specialties (such as cardiothoracics) within the UK. In the UK, patients don’t directly pay for their care, but the effect o

This already happens in some select specialties (such as cardiothoracics) within the UK. In the UK, patients don’t directly pay for their care, but the effect of this case has (anecdotally) been that surgeons are more likely to refuse to operate riskier cases to avoid impacting on their outcomes score.