I read with dismay the article by Nicklaus et al.1 This study isn't about providing better care, it's about providing less care and getting away with it. The article isn't about being a better physician, it's about being the lowest bidder.
The article also includes the remarkable (for a medical journal) statement: "The cost of health care is a tremendous burden to our society." Health care costs are a "burden" because the government and employers have chosen to reduce their expenses by pretending that these costs are a burden. Health care costs are a burden because government and employers pretend not to know that increasing costs are due to an aging population and improved technology lets us do more to improve life for more people. Health care is, in fact, what economists call a superior good; as you can afford more, you buy more—unless you think you can produce
Goodman RS. Short-Stay Outpatient Tonsillectomy. Arch Otolaryngol Head Neck Surg. 1996;122(8):897. doi:10.1001/archotol.1996.01890200085018
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