A good point to make is that unlike most other professions, negligent -or downright dangerous- doctors are not naturally flushed out of the profession by market

A good point to make is that unlike most other professions, negligent -or downright dangerous- doctors are not naturally flushed out of the profession by market mechanisms that keep other professions in check. As documented by Marty Makari's book "Unaccountable", state boards rarely if ever sanction doctors for negligence. First, bad doctors are protected by a code of omerta from public exposure [1]. This is often because the bad doctors are the ones that deal with the awful hours / patients / cases, no one else wishes to deal with. In the rare instance sanctions happen, they simply go to another state and continue to practice [2] Therefore, you are far more likely to end up with an incompetent doctor... than you would like to think. [1] https://www.wsj.com/articles/SB10000872396390444709004577652201640230514 https://www.wsj.com/articles/SB10000872396390444709004577652... [2] https://www.baltimoresun.com/citypaper/bcp-cms-1-1378603-migrated-story-cp-20120926-featu-20120926-story.html https://www.baltimoresun.com/citypaper/bcp-cms-1-1378603-mig...