It seems that every time researchers estimate how often a medical mistake contributes to a hospital patient's death, the numbers come out worse.
[...] In 2010, the Office of Inspector General for Health and Human Services said that bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year.
Now comes a study in the current issue of the Journal of Patient Safety that says the numbers may be much higher — between 210,000 and 440,000 patients each year who go to the hospital for care suffer some type of preventable harm that contributes to their death, the study says.
That would make medical errors the third-leading cause of death in America, behind heart disease, which is the first, and cancer, which is second.
The new estimates were developed by John T. James, a toxicologist at NASA's space center in Houston who runs an advocacy organization called Patient Safety America. James has also written a book about the death of his 19-year-old son after what James maintains was negligent hospital care.
Asked about the higher estimates, a spokesman for the American Hospital Association said the group has more confidence in the IOM's estimate of 98,000 deaths. ProPublica asked three prominent patient safety researchers to review James' study, however, and all said his methods and findings were credible.
[...] Dr. David Mayer, the vice president of quality and safety at Maryland-based MedStar Health, said people can make arguments about how many patient deaths are hastened by poor hospital care, but that's not really the point. All the estimates, even on the low end, expose a crisis, he said.
"Way too many people are being harmed by unintentional medical error," Mayer said, "and it needs to be corrected."
The story describes additional studies that were performed and then solicited feedback from other doctors who supported the view that the 98,000 figure underreports the problem and that the situation warrants further investigation, reporting, and action.
Have any Soylentils personally experienced or observed medical mistakes that had an adverse outcome? Alternatively, has anyone experienced a medical triumph in the face of very poor odds for a positive outcome? What about medical treatments in countries besides the US?
(Score: -1, Offtopic) by Anonymous Coward on Sunday September 25 2016, @05:14PM
You have to look out for them. Sometimes they are fanatics willing to overlook contradictory facts and embellish supporting ones in order to advance their agenda.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @05:32PM
You have to look out for them too.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @06:35PM
Your inability to extract facts from the summary doesn't make something a non sequitur. Here:
The new estimates were developed by John T. James .... James has also written a book about the death of his 19-year-old son after what James maintains was negligent hospital care.
While it's tragic that this fellow's son died according to what HE believes to be medical errors, no one ended up sued or in jail so either the rest of the world disagrees or there's this massive conspiracy theory covering up doctors who commit these mistakes - despite Dr. James himself being a physician. More likely he disagreed with the treatment his son received being a physician himself, and this allows him to displace his anger and other feelings onto other physicians.
Don't get me wrong - mistakes do happen. However this guy is hardly an impartial source of information. Ergo - he is a crusader on a mission, kind of like MADD which is a good idea in theory but if you actually listen to them they are all rabid, fanatical crackpots. You might want to look up the meaning of non sequitur, because my comment follows perfectly.
(Score: 2, Insightful) by Anonymous Coward on Sunday September 25 2016, @06:42PM
Your ability create facts that don't exist doesn't make someone a crusader.
> no one ended up sued or in jail so either the rest of the world disagrees
Or... being the underdog is damn hard and lack of legal success is not proof of incorrectness.
Nah, that couldn't be it. The world is perfectly fair and everything works out the way it is supposed too.
(Score: 2, Informative) by Anonymous Coward on Sunday September 25 2016, @09:30PM
no one ended up sued or in jail so either the rest of the world disagrees or there's this massive conspiracy theory covering up doctors who commit these mistakes
It is often hard to bring doctors and hospitals to justice. They often have the money and resources to keep all but the most blatant malpractice (like cutting off the wrong leg) from coming back on them. It doesn't help that hospitals get to decide if it was their fault a patient died. There is no independent review of every death or complaint. Even if there is, the records are created and controlled by the doctors that messed up in the first place.
When lawsuits happen, they have the lawyers and cash reserves to keep lawsuits in court so long it bankrupts those that were harmed. When a hospital nearly killed someone in my family, made multiple mistakes, misdiagnoses, and were caught in lies, still no lawyer would take on the case. I was told flat out that the hospital would fight it and drag it out for years far beyond what I could afford. I was even told off the record, I was working in news at the time, by some lawyers that they were not willing to take on the state's largest employer who had just about every local politician in their pocket as it would be career suicide.
Many local news outlets won't run a story as the hospitals spend millions a year on advertising, sponsors events the stations are allied with, and are needed to get info and access for stories. So they get a free pass screwing people over and causing deaths.
Even at that, it is a case of people covering up for their own mistakes and those of their coworkers. It happens at a lot of jobs. People out to save their own skin. It isn't like they are going to stop making sick people or that many hospitals are going to stop having a virtual monopoly in their area. So they can get away with it.
(Score: 5, Informative) by jmoschner on Sunday September 25 2016, @05:36PM
The head of dermatology at VU Medical (formerly Fletcher Allen) couldn't identify a topological yeast infection my wife got while at the hospital.
When having heart surgery, she contracted an infection because the pacemaker they put it wasn't properly situated and caused a break in the skin. An infection they didn't even properly diagnose and required her to have an additional hospitalization and surgery (had her taken to another hospital in a different state for her future care).
When she first had signs of infection and went into the ER, the staff didn't notice she was having an allergic reaction to an antibiotic and I had to flag down nurses in the hallway, who were at first dismissive until I began yelling.
Watched doctors give conflicting medical diagnosis and advice while in the same room, and i had to step up and point that out.
Had an ER doctor admit to not reading my wife's chart before trying to give a diagnosis that would have been harmful.
Unfortunately, the hospital was the largest in the state and no lawyer would take the case and the doctors would blatantly lie or misdirect to cover up for each other. I took her to another hospital, fired her doctors, and she has been healthy ever since. The care she received there was so bad, that psychiatrists at the new hospital believe she suffered PTSD due to the horrible experiences that nearly killed her. Again even with clear cut evidence of malpractice, no lawyers would take the case as the hospital had too much money and political connections and would rather bankrupt someone in court than settle.
Doctor's in Indiana at one hospital misdiagnosed a friend's grandfather and their subsequent lack of administering proper medical care led to his death. The doctors there immediately went into CYA mode.
Had doctors at St. Mary's in Evansville, IN not properly diagnosis sleep apnea because apparently they didn't fully review the data from the sleep study and tried to withhold releasing my records and the data. It took several times of dealing with the administration and then contacting the Priest and getting the church side of the hospital involved to get the doctors to do what they were legally supposed to do. They also didn't like me pointing out their errors and showing them in their data (which they didn't even give me all of it as they deleted data before I could get it) where they missed things and the mistakes they made.
What really sucks about the medical world is that often hospitals are big economic players with lots of money and political pull so they can easily sweep things under the rug. Also doctors and nurses cover for the mistakes of the doctors. Administrators don't want actual numbers to come to light on how often problems happen or the hospital is at fault. SO they either cover things up or choose to find a way to have plausible deniability when things come to light. It doesn't help that those creating the records and noting what was or wasn't done and how things happen are the people making the mistakes in the first place. It is very easy for them to blame an injury or condition they caused on something else as they are the ones making the diagnosis.
(Score: 1, Interesting) by Anonymous Coward on Sunday September 25 2016, @07:02PM
I think part of the problem is that doctors are so overworked that they see too many patients all at once and they get little sleep. Little sleep plus little time to review the charts of each patient due to too many patients = disaster.
One possibility is to make it so that more people can more easily enter the medical profession so that work can be more evenly distributed. Of course the status quo doesn't like that because more people entering their labor force will drive down wages. So the status quo will do what they can to prevent this. Also if more people are allowed to enter more easily you may drive down the quality of medical practitioners. OTOH you have more people with experience in the field as well and more people looking at a problem can be a good thing.
Both extremes are bad. Too many people in the medical field could be indicative of poor screening and hence too many people that shouldn't be practitioners. Too few people in the medical field and you create an unrealistic workload for those that make it as practitioners and hence their quality falters since they aren't getting enough rest and the amount of time they can dedicate to each patient is not much. The trick is to find the right balance.
(Score: 2) by art guerrilla on Monday September 26 2016, @01:01AM
duh, they prescribe the coke to dead mrs johnson, so they can take a bump to make it through the shift, to make the mis-diagnosis on mrs smith who dies, so they can prescribe coke for her, so they can take a bump to make it through the shift, to make the mis-diagnosis on mr jones who dies, so they can prescribe coke for him... etc ad infinitum...
i think we have found a perpetual motion machine ! ! !
(Score: 2) by butthurt on Monday September 26 2016, @01:32AM
By 1900, Americans could walk into any pharmacy and purchase a gram of pure cocaine for 25 cents. Cocaine was one of the country’s five best-selling pharmaceuticals that year. [...] By 1902, upwards of 200,000 Americans were cocaine addicts. A disproportionate number of these addicts were doctors, dentists, and pharmacists – who faced a disastrous combination of stressful, high-stakes work and easy access to piles of cocaine.
-- http://mentalfloss.com/article/57988/11-unbelievable-moments-cocaines-early-medical-history [mentalfloss.com]
(Score: -1, Troll) by Anonymous Coward on Sunday September 25 2016, @09:01PM
What is really amazing is that some one with such superior medical knowledge would need to submit himself to such quacks in the first place!
They also didn't like me pointing out their errors and showing them in their data (which they didn't even give me all of it as they deleted data before I could get it) where they missed things and the mistakes they made.
You can find errors in data that doesn't even exist? Truly amazing! And all this without the slightest amount of medical training? Wow.
who were at first dismissive until I began yelling.
It is very easy for them to blame an injury or condition they caused on something else as they are the ones making the diagnosis.
Especially when the diagnosis is hypochondria and practicing medicine without a license! Hey, tell us some horror stories about psychiatry!
(Score: 3, Interesting) by HiThere on Monday September 26 2016, @01:10AM
Sorry, but your sarcasm is unwarranted. My wife was admitted to a hospital, but because of a bed shortage she was placed in the neurology ward rather than the cardiac ward. She nearly died because of this. The doctors were doing everything they knew how, but they weren't cardiac specialists, and had written her off as a goner. I basically threw a fit to get her to move them to the cardiac ward, where even the nurses knew how to treat her kind of condition, and she improved immediately.
There's so much specialization that frequently doctors don't know what's going on outside their specialty. I didn't know how she should be treated, but I knew certain features that the treatment should contain (like a telemetry reading of her heart rhythms). This is because I've been with her in such places before.
Well, she had fallen and hit her head, so the neurology ward wasn't totally unreasonable. But it was unreasonable for HER. The reason she had fallen was her heart problem. I think that's finally been resolved after several operations...and the initial problem was scarring caused by open heart surgery to repair a ventral cardiac defect. She's still got a few heart problems that they consider too dangerous to address...a leaky valve, e.g. I've got no idea how to address those problems, but this doesn't keep me from knowing certain basic features about the kind of treatment she needs.
Javascript is what you use to allow unknown third parties to run software you have no idea about on your computer.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @05:59PM
From http://www.yakimamedicalclinic.com/medicalservices.html: [yakimamedicalclinic.com] "Yakima Medical Clinic provides a full range of family practice medical services for family members of all ages in the Yakima area. Our highly qualified care providers offer comprehensive well child and adult exams,
We assist patients with pain management when clinically necessary.
Our comprehensive lifestyle program addresses a full range of medical concerns. We specialize in assisting patients with weight loss by developing a specific lifestyle program and prescribing a weight loss medication as needed.
Our practice includes a bilingual provider to better serve patients who speak Spanish."
Yakima, WA, home of the Braindead.
(Score: 1) by Ethanol-fueled on Sunday September 25 2016, @06:20PM
They make good roof-racks and other yuppie shit though, for those who are too poor to afford a good Thule.
Though I doubt they're braindead -- but it does sound like they have a lot of pillhead junkies and illegal Mexicans, which would give one the impression of them being braindead.
As an aside note, I used to work for an electronics company which made devices that detected if surgical tools were left inside the patient after close-up - it looked like a large loop with a handle. When the patient was closed up, the doctor would wave it around the patient (kinda like the metal detector security does at the courthouses) and it would alert the doctor if there was any foreign matter left inside the patient. How very reassuring!
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @09:36PM
Great scene in a Sandra Dee movie. [imdb.com]
A teenager signs up to be a hospital flunkie.
Obviously-disinterested nurse assigns the teen the task of cutting bandage rolls into 3-foot strips--but doesn't give her a measuring device nor a pair of scissors, so the teen figures it out for herself.
She picks up a pair of scissors she finds on a tray, goes back to the pile of bandages, and begins work.
Scrub nurse comes back to the tray (which had just been wheeled out of a surgical suite) and counts the instruments.
She freaks out when the count is short by 1 pair of scissors.
Staff starts scurrying about trying to figure out what went wrong.
Meanwhile, teen finishes her task and returns the scissors to where she found them (as scrub nurse watches).
Teen gets assigned a new task (with better supervision).
-- OriginalOwner_ [soylentnews.org]
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @06:14PM
Have a look at http://www.fieldstonecommunities.com/memory-care/. [fieldstonecommunities.com] Doesn't the phrase "memory care" seem a bit strange? Just reading that page gives me a creepy feeling that, behind-the-scenes, it's more like http://www.sickchirpse.com/worst-psychiatric-institutions/. [sickchirpse.com]
(Score: 3, Informative) by compro01 on Sunday September 25 2016, @11:06PM
It's fairly straightforward phrasing. It's care specialized for persons with severe memory impairment due to Alzheimer's and other forms of dementia.
Hogewey is a modern example of it.
(Score: 1, Interesting) by Anonymous Coward on Sunday September 25 2016, @06:33PM
I had quintuple bypass surgery at a hospital in Utah. After surgery I was fighting for every breath. I had my wife bring an emergency inhaler from home so I could get some relief (I was afraid to sleep). At discharge, they said "and here's the prescription for your beta blockers". My wife said "But he's allergic to beta blockers. They cause an immediate asthma attack." A near miss (I survived) and since I did survive I doubt I got counted in any of the studies.
(Score: 1, Insightful) by Anonymous Coward on Sunday September 25 2016, @06:50PM
How Many Die from Medical Mistakes in U.S. Hospitals?
Probably a much lower percentage than those who die from medical mistakes at home, such as attempting to cure cancer with magic crystals, homeopathic remedies, self-prescribed medication and not vaccinating children.
(Score: 4, Informative) by tisI on Sunday September 25 2016, @06:56PM
It's not the hospitals that are the problem.
The problem is the american lawmakers deem the insurance "corporations" remain THE most important "persons" in the american healthcare system and let them, the insurance lobby, write the most recent healthcare bill, what we have now.
Now this turd of a healthcare system we have is THE most expensive, unfair piece of shit I've (we have) ever had to deal with/pay for. Additionally, care is pathetic. Our hacks (Doctors) are merely whores for the pharmaceutical "people" (industry).
disclaimer:
I say this as one of 60 years. Survived bladder cancer, later survived sudden cardiac death.
I'm not unfamiliar to what sort of healthcare coverage americans deserve vs. what we all are being fucked with today.
In '99, Bill Clinton was pres, bladder cancer cost me $10 for the initial visit only. Never saw another bill. Hospital, doctor, anesthesia, .. nothing.
Then came CRAB and it all changed.
Today a pacemaker download, can be done over the phone, ~15 mins, $1k.
My cost after Insurance, sometimes 25% - 50% .. depending on who/what/when the wind blows ..
I will die again one day. I'm okay with it. Gift time is good.
The rest of Americans will still be getting ass-raped, even worse than now.
None of your senators are your friends. Clean house. Sack them all.
Trump will not save you.
"Suppose you were an idiot...and suppose you were a member of Congress...but I repeat myself."
(Score: 3, Interesting) by Adamsjas on Sunday September 25 2016, @07:04PM
"Let the insurance lobby write the most recent healthcare bill, what we have now."
Is the sky purple in your world, or have you just been in a drug induced coma for the last 7 years?
Since Obama care, the insurance industry is leaving the health care industry faster than shoppers at a mall shooting, costs have skyrocketed, coverage has actually declined. And all that because the insurance industry got their way?
Maybe read some news once in a while?
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @07:31PM
What the hell are you talking about? Are you talking about insurers leaving AHIP?
(Score: 0, Troll) by Anonymous Coward on Sunday September 25 2016, @10:47PM
The insurance companies pulling out of Obamacare recently have pulled out for political reasons driven mainly by spite. They weren't allowed to merge, so they said they're taking their ball and going home by pulling out of regions where they are profitable. Not quite the indictment you make it out to be.
(Score: 2) by butthurt on Monday September 26 2016, @01:11AM
The quote below is from a letter from Aetna's CEO to the Department of Justice. Note the second sentence. After the proposed merger was nixed, the company did withdraw from insurance markets.
Our analysis to date makes clear that if the deal were challenged and/or blocked we would need to take immediate actions to mitigate public exchange and ACA small group losses. Specifically, if the DOJ sues to enjoin the transaction, we will immediately take action to reduce our 2017 exchange footprint. We currently plan, as part of our strategy following the acquisition, to expand from 15 states in 2016 to 20 states in 2017. However, if we are in the midst of litigation over the Humana transaction, given the risks described above, we will not be able to expand to the five additional states. In addition, we would also withdraw from at least five additional states where generating a market return would take too long for us to justify, given the costs associated with a potential breakup of the transaction. In other words, instead of expanding to 20 states next year, we would reduce our presence to no more than 10 states. We also would not be in a position to provide assistance to failing cooperative exchanges as we did in Iowa recently.
--http://www.npr.org/sections/health-shots/2016/08/17/490202346/aetna-ceo-to-justice-department-block-our-deal-and-well-drop-out-of-exchanges [npr.org]
further coverage:
https://duckduckgo.com/html?q=%22if+the+deal+were+challenged+and%2For+blocked%22 [duckduckgo.com]
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @11:15PM
Since Obama care, the insurance industry is leaving the health care industry faster than shoppers at a mall shooting
Good riddance, parasites.
Middlemen only bloat up costs.
Maybe now folks in gov't will realize that Single-Payer was the way to go from the start.
...and it was Ronmeycare before it was Obamacare.
Before that, it came out of a Right-^Wrong-Wing "think" tank.
costs have skyrocketed
The starting point you picked for that seems quite arbitrary.
One thing that Obamacare -did- do was cap overhead|administrative costs AKA profits.
-That- is why the for-profit parasites have been bailing out.
Obamacare "caps" the profit of an insurance company [at] 20 cents to the dollar [1] [investmentwatchblog.com]
(There used to be some weasels that skimmed off 35 percent.)
[1] Horrible page design and their HTML is awful. [w3.org]
It's so bad that the No Style trick makes it even worse.
I had to use my Aardvark extension and the [i] command (isolate the middle column) to make it less than awful.
coverage has actually declined
Unemployed people without any income qualify for state-provided healthcare coverage.
They then no longer need to go to the price-gougers for coverage.
I note that healthcare cooperatives have also declined and I find that disappointing.
because the insurance industry got their way
That's as close to a proper explanation as any.
They -really- hated the logical alternative. See "Single-Payer", above.
-- OriginalOwner_ [soylentnews.org]
(Score: 2, Disagree) by Adamsjas on Sunday September 25 2016, @06:56PM
Quote the Summary: "The story describes additional studies that were performed and then solicited feedback from other doctors who supported the view that the 98,000 figure underreports the problem and that the situation warrants further investigation, reporting, and action."
Did they solicit feedback from doctors that did not support consider the 98,000 to be under-reported?
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @08:25PM
Your pseudo-skepticism is an embarrassment. How about reading the actual story instead of making guesses based on one clunky sentence written by the submitter?
Nah, that's too hard. Public masturbation is easier and more fun.
(Score: 0) by Anonymous Coward on Monday September 26 2016, @02:49AM
I told you - crusader.
(Score: 2, Interesting) by Anonymous Coward on Sunday September 25 2016, @06:57PM
As much as he almost kills his patients with crazy guesses most patients actually die because doctors can't be bothered to preform actual diagnostics or have medical knowledge greater than a random person with access to pub med, I have never seen or heard of a correct diagnosis from any doctor until symptoms became so bad they could not be ignored of written off.
Most a just run of the mill sociopaths on the make.
(Score: 4, Interesting) by Anonymous Coward on Sunday September 25 2016, @08:25PM
True story. 35 year old woman walks into my practice complaining of quite acute abdominal pain. She had been to see 4 other physicians in the previous week, all of whom told her that she had gastritis, heartburn or colitis, and all of whom prescribed her basically the same medication - antacids and/or proton pump inhibitors like Nexium or similar. Since this story piques my curiosity - first that gastritis would last 4-5 days without letting up at all and despite being over-medicated in this way the pain would be enough to send her to see me - a "5th" doctor. Second, she looked like she was in quite a bit of pain. And third, after a brief physical, she seemed febrile (warm to the touch). And of course epigastric (middle of the upper abdomen) tenderness.
Frankly I was thinking perhaps pancreatitis, cholangitis, or something similar, so I ordered a few simple tests. CBC, amylase, liver function tests, etc. Why? Because no one else had bothered to order any tests and this didn't fit the pattern for gastritis or colitis. Abdominal pain yes. Vomiting maybe. Diarrhea sometimes. Fever? 5 days of just pain and no evolution? No.
CBC comes back with 25,000 leucocytes along with the presence of leukoblasts. Simple, basic test that no one bothered to run, costs all of $10 (probably more in your country) - and the answer was right there. But you won't find it if you don't bother to look for it. Anyway she died later that week. According to her husband, who brought his 6 year old daughter in to me a few months later - the mother was very grateful that I had finally discovered the source of her pain. It was unlikely she'd respond to chemotherapy at that age, usually over 15's don't survive acute lymphocytic leukemia, but at least she got a chance and finally got the care she needed.
Medicine is easy if you listen to the patient and are smart enough to figure out when things don't make sense or don't fit the pattern and that's the catch. Like has been mentioned elsewhere, anyone can memorize and quote WebMD and wikipedia. But it takes experience to figure out when things don't quite add up, and you need to care enough about your patient to take that extra step - not to cover your own ass but to be absolutely sure that you're correct. I'm not perfect by any means and I've made my share of mistakes. Most have been minor, thank goodness, and I haven't killed or maimed anyone. It can happen, but it shouldn't happen. Unfortunately I think "Western" medical schools recruit the wrong kind of person, focusing too much on pure academic performance and much less on actual empathy and compassion.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @10:51PM
When I was in college in the 80's, most seemed to go into it for the money. It was either pre-law or pre-med, because the thinking was that was where you were going to make gobs of money.
(Score: 0) by Anonymous Coward on Monday September 26 2016, @12:32AM
pre med != medicine. Many sperm are sent. Only one is chosen.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @08:41PM
For growths on his lungs at (I believe Sutter Medical) hospital in Sacramento or Elk Grove. Surgery went off without a hitch. However during recovery he was not catheterized. Some issue arose which caused him to be unable to urinate, and somehow the nurses and doctors ignored it for like 3 days as his stomach distended, and despite one of his relatives being a nurse, who attempted to bring the issue up to staff. He ended up going into septic shock and dying, leaving my friend to take over duties as the head male of the family (they were first generation vietnamese immigrants.) Due to the stress of him dying and cultural hangups, his mother was unwilling to sue the hospital over it, despite it being a clear case of negligence.
(Score: 0) by Anonymous Coward on Sunday September 25 2016, @09:20PM
For growths on his lungs
You mean cancer. There are not many other "growths" you'd operate a lung for. In most countries you don't even do that. Usually all it does is buy a little time.
somehow the nurses and doctors ignored it
Possibly because during the op they discovered the disease so far advanced, there was nothing to be done so they closed him right back up again. And wrote DO NOT RESUSCITATE in big bold letters in the patient file.
This is probably not an example of a "medical error" killing a patient, but rather a "medical error" in failing to communicate appropriately with the patient's family.
(Score: 3, Informative) by sjames on Monday September 26 2016, @04:41AM
If so, the miscommunication amounted to a felony. Medical staff in the U.S. cannot just declare a patient DNR, only the patient and family can do that. Beyond that, a Foley is not resuscitation.
In the U.S. when a patient needs and wants compassionate euthanasia (unfortunately illegal), they are instead given enough meds to control pain even when that becomes risky. The patient or legal proxy will sign a DNR and withdraw consent for all but palliative care.
(Score: 0) by Anonymous Coward on Monday September 26 2016, @07:41AM
Most people don't want to accept that the quality of doctors varies as much as the quality of lawyers.