According to an editorial in this Sunday's New York Times, there is disturbing evidence that many doctors -- not the majority who seek to do good for their patients -- but many doctors who are doing more than is medically useful and necessary and often reap the generous rewards by over-treating their patients. The Times quoted an article by Atul Gawande, a Harvard-affiliated surgeon that appeared in the June 1 issue of The New Yorker. According to Dr. Gawande, healthcare cost are skyrocketing and in the long run, unless doctors can be induced to rein themselves in, there is little hope for the kind of reforms the Obama administration is seeking for all Americans.
Gawande points out that none of the usual rationalizations put forth by doctors, big insurance companies and many opponents of healthcare reform, hold up upon closer inspection. Turns out, Gawande writes, it's not the "greedy trial lawyers" who are to blame for the huge cost overruns. Malpractice claims have practically disappeared in some states due to tough state malpractice law, which Rawande says leaves "no rationale for defensive medicine."
The reason for the soaring costs, some doctors admitted to Rawande, is over-treatment. Doctors are performing extra tests, surgeries and other procedures to increase their incomes.