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> Our medical system is a "no-miss" culture that has extreme life altering penalties for physicians that give medical care that leads to harm. That is the prob

by ponow 4y ago

> Our medical system is a "no-miss" culture that has extreme life altering penalties for physicians that give medical care that leads to harm. That is the problem. We expect physicians to be faultless, but they're not. If we applied the same standards to everything in life, then life would stagnate, if not grind to a halt. This idea that everyone who passed their exams is equally qualified is a fiction. Let quacks back in and end defamation lawsuits that silence critics and leave it up to reputation and the market, contracts and standard criminal law. A much more dynamic market in medicine is necessary.

freejazz 4y ago
Physicians are not at all expected to be faultless. They are expected to not provide advice that runs contrary to the current average assumption in their practice. That's the standard for malpractice.
wahern 4y ago
> end defamation lawsuits that silence critics and leave it up to reputation and the market How can anyone rely on reputation in a world where there's no accountability when people systematically and mercilessly destroy someone's reputation? Even most people who oppose copyright and patents still seem to understand that trademarks serve a singularly critical role in permitting a free market to operation. But the existence of trademarks necessarily require the ability to sue those who violate them. The same is true of reputation--reputation has no meaningful substance if the law does not provide a means for people to defend it. Without legally (i.e. community) enforceable accountability, a person's reputation is whatever the most powerful person or group says it is. That's literally a world where might is right; where free market is synonymous to law of the jungle.
andrewflnr 4y ago
> If we applied the same standards to everything in life, then life would stagnate Which is exactly why we don't, and essentially no one is advocating for it. But different domains of life need different risk tolerances. Some amount of greater caution, to say the least, is warranted when you're dealing with people's health.

by ponow 4y ago

freejazz 4y ago

Physicians are not at all expected to be faultless. They are expected to not provide advice that runs contrary to the current average assumption in their practice. That's the standard for malpractice.

wahern 4y ago

> end defamation lawsuits that silence critics and leave it up to reputation and the market How can anyone rely on reputation in a world where there's no accountability when people systematically and mercilessly destroy someone's reputation? Even most people who oppose copyright and patents still seem to understand that trademarks serve a singularly critical role in permitting a free market to operation. But the existence of trademarks necessarily require the ability to sue those who violate them. The same is true of reputation--reputation has no meaningful substance if the law does not provide a means for people to defend it. Without legally (i.e. community) enforceable accountability, a person's reputation is whatever the most powerful person or group says it is. That's literally a world where might is right; where free market is synonymous to law of the jungle.

andrewflnr 4y ago

> If we applied the same standards to everything in life, then life would stagnate Which is exactly why we don't, and essentially no one is advocating for it. But different domains of life need different risk tolerances. Some amount of greater caution, to say the least, is warranted when you're dealing with people's health.