Billions for Defense
The Pervasive Nature of Defensive Medicine
Arch Intern Med. 1999;159:2399-2402.
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INTRODUCTION
DEFENSIVE medicine is widely condemned but is inextricably interwoven into daily medical practice. This produces significantly higher medical costs and unrecognized distortions in the provision of medical care. Malpractice litigation is the primary cause of defensive medicine. Physicians can no longer define standards of care without reference to societal standards. Defensive medicine must be acknowledged before it can be appropriately evaluated.
Physicians practice defensive medicine all the time. Some of us know it, acknowledge it, and accept it. Others believe this to be quite untrue and find the concept "morally unconscionable"1 and "reprehensible."2 Precisely because the concept is elusive and the practice is pervasive, it is incumbent upon us to define the process and understand its effects. Not until then will we be able to do something about it.
First, I will explore the meaning of defensive medicine and why it has become so prevalent. Then I will assess the . . . [Full Text of this Article]
DEFINITION
COST OF DEFENSIVE MEDICINE
AVOIDING LAWSUITS
HOW MUCH LITIGATION IS ENOUGH?
STANDARD OF CARE
ACKNOWLEDGING DEFENSIVE MEDICINE
CONCLUSIONS
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