Posts Tagged ‘medical’

In the mail: “The Tyranny of Metrics”

New from Princeton University Press and Catholic U. historian Jerry Z. Muller:

Today, organizations of all kinds are ruled by the belief that the path to success is quantifying human performance, publicizing the results, and dividing up the rewards based on the numbers. But in our zeal to instill the evaluation process with scientific rigor, we’ve gone from measuring performance to fixating on measuring itself. The result is a tyranny of metrics that threatens the quality of our lives and most important institutions. In this timely and powerful book, Jerry Muller uncovers the damage our obsession with metrics is causing–and shows how we can begin to fix the problem.

Filled with examples from education, medicine, business and finance, government, the police and military, and philanthropy and foreign aid, this brief and accessible book explains why the seemingly irresistible pressure to quantify performance distorts and distracts, whether by encouraging “gaming the stats” or “teaching to the test.” That’s because what can and does get measured is not always worth measuring, may not be what we really want to know, and may draw effort away from the things we care about. Along the way, we learn why paying for measured performance doesn’t work, why surgical scorecards may increase deaths, and much more. But metrics can be good when used as a complement to—rather than a replacement for—judgment based on personal experience, and Muller also gives examples of when metrics have been beneficial.

Also with an epigraph from Aaron Haspel: “Those who believe that what you cannot quantify does not exist also believe that what you can quantify, does.”

Medical roundup

  • “Oral Contraceptives Should be Free (From the Third-Party Trap)” [Jeffrey Singer, Cato]
  • Arbitrator awards $17.5 million after hospital fires neurosurgeon: in retaliation, or because he didn’t disclose problems with the law unrelated to practice? [Mike Baker, Seattle Times]
  • Idea of empowering government to rewrite recipes for packaged food has gotten more traction in British public health sector than here [Sean Poulter, Daily Mail]
  • Encyclopedia time: you can look up a variety of health topics in the now-online Encyclopedia of Libertarianism including Michael Cannon on health care generally, Gene Healy and Bruce Benson on illegal drugs, Jeffrey Schaler on psychiatry. And the Routledge Encyclopedia of Libertarianism includes Jessica Flanigan on libertarianism and medicine;
  • If treatment deviating from the standard of care is the standard for malpractice, then some patients in pursuit of unconventional therapy choose it, and the law of waivers and of assumption of risk should respect their autonomy [Nadia Sawicki via TortsProf]
  • About the Washington Post’s big opioid-legislation exposé, a few questions [Robert VerBruggen]

Medical roundup

Whiplash and incentives, abroad

“In my first 20 years as a consultant I wrote many reports which were economical with the truth – the truth being that there was very little wrong with the vast majority of compensation claimants that I saw. I was moving with the herd.” While lawyers, insurers, and others are all complicit, writes Dr. Charlie Marks, the onus is on the medical profession to speak up against medico-legal misdiagnosis [Irish Times via Patrick Collinson, The Guardian (“Whiplash: the myth that funds a £20bn gravy train”)]

Medical roundup

  • “Here’s how lawmakers want to fix our kidney shortage” [Robert Gebelhoff, ideas of Sally Satel and others; Alex Tabarrok on Rep. Matt Cartwright (D-Pa.)’s proposed Organ Donor Clarification Act]
  • AMA: Lawyer ads stirring up pharmaceutical litigation are scaring viewers into going off needed medications [Jessica Karmasek, Forbes]
  • How does Cuba score such good infant health data? Fudging statistics, jailing truth-tellers helps [video, Free To Choose TV, “Dead Wrong” with Johan Norberg]
  • Per Swedish study, lottery winners do not get healthier after their windfalls. Some implications about health care and inequality? [Alex Tabarrok]
  • Really, AMA: declaring shootings a public health crisis at best a political stunt [Trevor Burrus]
  • Is ten years too long, Your Honor? “New York Lawmakers Push to Extend Deadline for Med-Mal Suits” [Insurance Journal]

Medical roundup

  • Even into the thick of the scandal revelations, Sen. Bernie Sanders “wanted to believe that the VA was a model for government-run health care” [Tim Mak, The Daily Beast]
  • Issues include state licensing, location of service for legal purposes: “How Congress Can Remove Barriers to Affordable, Quality Telemedicine” [Michael Cannon, Cato]
  • “Resistance to anesthesia in the 19th century” [R. Meyer and S.P. Desai via Tyler Cowen]
  • “There’s no evidence the FDA blocks innovation or makes innovation harder or makes it more costly,” claims one Harvard professor. Sens. Ted Cruz (R-Tex.) and Mike Lee (R-Utah) disagree and have introduced a FDA reciprocity bill to “make it easier for U.S. patients to access drugs and devices already approved in other developed countries” [Alex Tabarrok first, second, third (Daniel Klein and William Davis survey) posts]
  • “Judge rules against Al Qaeda supporter who claimed medical malpractice against his jailers.” [Reuters]
  • No, these aren’t “three parent” babies and Congress should not be talked into moral panic about them [Andrew Stuttaford]
  • “Increase in nursing malpractice claims” [Nursing Services Organization and CNA Professional Liability via TortsProf]

Free speech roundup

  • “Charlie Hebdo editor: Censorship must not win” [Charb/New York Post] Today, on anniversary of that attack, Cato hosts free speech attorney Robert Corn-Revere on “The Assassin’s Veto,” with comments from GWU lawprof Catherine Ross, moderated by John Samples [details, and watch live]
  • Florida lawmakers muzzle doctors’ comments to patients regarding guns. 11th Circuit says okay. No, not okay [Ken White, Eugene Volokh]
  • The ‘speech integral to criminal conduct’ exception, important in early free speech law, has come roaring back [Eugene Volokh; for the role of this doctrine in the Oregon cake case, see my post then and his]
  • Good news if you’re a Wisconsin conservative who forgot to archive your emails: that nice John Doe prosecutor secretly did it for you [Watchdog]
  • From Federalist Society national lawyers’ convention, Prof. Nicholas Quinn Rosenkranz interviews Kirsten Powers on her new book The Silencing (wobbly audio in early minutes, which eventually clears);
  • “Ex-tenant barred from saying that ex-landlord had been in the Witness Protection Program, ‘[r]egardless of the truth or falsity of this information'” [Volokh]
  • Lawprof Eric Posner wants to roll back First Amendment to curb ISIS recruitment. Hell, no [ABA Journal, Anthony Fisher/Reason, Ken White/Popehat]

Medical roundup

  • Scorecards on complication rates and outcomes may reveal little about who’s a bad doctor since best docs sometimes take hardest cases [Saurabh Jha, KevinMD] “Anatomy of error: a surgeon remembers his mistakes” [The New Yorker]
  • When parents and doctors don’t agree, are allegations of “medical child abuse” levied too liberally? [Maxine Eichner, New York Times; Lenore Skenazy, see also “medical kidnapping” links]
  • ABA’s Standing Committee on Medical Professional Liability derailed in bid for House of Delegates resolution endorsing unlimited punitive damages in product liability [Drug & Device Law first, second, third posts]
  • Wisconsin repeals medical whistleblower law [Milwaukee Journal-Sentinel]
  • “Politically Driven Unionization Threatens In-Home Care” [David Osborne, IBD]
  • Ninth Circuit upholds Washington state regulations forcing family pharmacy to dispense morning-after pills [The Becket Fund]
  • Pathologist who frequently diagnosed shaken baby syndrome loses Montana role [Missoulian]