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	<title>Comments on: John Edwards Has Already Changed Health Care!</title>
	<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/</link>
	<description>Cleaning the Augean Stables of the Health Care Debate</description>
	<pubDate>Tue, 06 Jan 2009 11:39:54 +0000</pubDate>
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		<title>By: Matt</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2731</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 19 Jun 2007 21:11:56 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2731</guid>
		<description>Define "out of control litigation" and "predatory lawsuits".  How many lawsuits do there need to be that you won't call them "out of control"?  Who defines what is "predatory" and what isn't?  Just the defendants?  I guess one can just as easily say we need to cap physician salaries to reduce the "out of control malpractice" and "predatory physicians", can't they? 

As for defensive medicine, surely someone like you can see the silliness of using unquantifiable terms to dictate public policy.  

You really have no idea what is causing the increase in C-sections, just as you have no idea what an "acceptable" level would be.  Until you can define that, you're really not offering much meaningful.</description>
		<content:encoded><![CDATA[<p>Define &#8220;out of control litigation&#8221; and &#8220;predatory lawsuits&#8221;.  How many lawsuits do there need to be that you won&#8217;t call them &#8220;out of control&#8221;?  Who defines what is &#8220;predatory&#8221; and what isn&#8217;t?  Just the defendants?  I guess one can just as easily say we need to cap physician salaries to reduce the &#8220;out of control malpractice&#8221; and &#8220;predatory physicians&#8221;, can&#8217;t they? </p>
<p>As for defensive medicine, surely someone like you can see the silliness of using unquantifiable terms to dictate public policy.  </p>
<p>You really have no idea what is causing the increase in C-sections, just as you have no idea what an &#8220;acceptable&#8221; level would be.  Until you can define that, you&#8217;re really not offering much meaningful.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2709</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Tue, 19 Jun 2007 15:22:55 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2709</guid>
		<description>You're off in the weeds. Remember, we're talking about out-of-control litigation. The initial victims of this litigation are the defendants (i.e. physicians and hospitals). You and I are the indirect victims, because predatory lawsuits put upward pressure on health care costs and cause the providers to practice defensive medicine (rather than the kind that focuses exclusively on the needs of the patients). The increase in C-sections is but one manifestation of defensive medicine.</description>
		<content:encoded><![CDATA[<p>You&#8217;re off in the weeds. Remember, we&#8217;re talking about out-of-control litigation. The initial victims of this litigation are the defendants (i.e. physicians and hospitals). You and I are the indirect victims, because predatory lawsuits put upward pressure on health care costs and cause the providers to practice defensive medicine (rather than the kind that focuses exclusively on the needs of the patients). The increase in C-sections is but one manifestation of defensive medicine.</p>
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		<title>By: Matt</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2705</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 19 Jun 2007 13:11:19 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2705</guid>
		<description>Seriously, take a step back and pretend you've never heard a word about any of this.  Then read your original post.  Isn't your first question what the evidence in the cases you're referring to actually showed? 

And really, any discussion of "victims" in the medical malpractice context has to start with the patients.  Second, you can argue the insurers, who actually are paying the money.  Then we get to the physicians.</description>
		<content:encoded><![CDATA[<p>Seriously, take a step back and pretend you&#8217;ve never heard a word about any of this.  Then read your original post.  Isn&#8217;t your first question what the evidence in the cases you&#8217;re referring to actually showed? </p>
<p>And really, any discussion of &#8220;victims&#8221; in the medical malpractice context has to start with the patients.  Second, you can argue the insurers, who actually are paying the money.  Then we get to the physicians.</p>
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		<title>By: Matt</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2704</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 19 Jun 2007 13:06:46 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2704</guid>
		<description>The primary "victims"?  The physicians?  Are you joking?  You have no clue about the facts of any of Edwards' cases.  For all you know, they were all correctly decided.  Surely knowing the facts of the cases before making broad pronouncements based on them isn't setting the bar very high.

In fact, I doubt you even know the number of CP lawsuits v. the number of CP kids.  Does anyone?  And yet you're issuing blanket condemnations?

It appears you've not got any bar to cross before reaching your conclusions, which is even less than what you accuse the juries in Edwards' case of having.</description>
		<content:encoded><![CDATA[<p>The primary &#8220;victims&#8221;?  The physicians?  Are you joking?  You have no clue about the facts of any of Edwards&#8217; cases.  For all you know, they were all correctly decided.  Surely knowing the facts of the cases before making broad pronouncements based on them isn&#8217;t setting the bar very high.</p>
<p>In fact, I doubt you even know the number of CP lawsuits v. the number of CP kids.  Does anyone?  And yet you&#8217;re issuing blanket condemnations?</p>
<p>It appears you&#8217;ve not got any bar to cross before reaching your conclusions, which is even less than what you accuse the juries in Edwards&#8217; case of having.</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2653</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Mon, 18 Jun 2007 20:50:14 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2653</guid>
		<description>&lt;em&gt;But glad you admit that you couldn’t show causation.&lt;/em&gt; 

I merely stated that you can't show causation if you ignore the primary victims (i.e. the docs). In other words, Morris set the evidence bar absurdly high.

&lt;em&gt;That’s the first step toward acknowledging the truth!&lt;/em&gt;

I'm delighted to see that you know "the truth." Perhaps you'd like to share.</description>
		<content:encoded><![CDATA[<p><em>But glad you admit that you couldn’t show causation.</em> </p>
<p>I merely stated that you can&#8217;t show causation if you ignore the primary victims (i.e. the docs). In other words, Morris set the evidence bar absurdly high.</p>
<p><em>That’s the first step toward acknowledging the truth!</em></p>
<p>I&#8217;m delighted to see that you know &#8220;the truth.&#8221; Perhaps you&#8217;d like to share.</p>
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		<title>By: Matt</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2650</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Mon, 18 Jun 2007 20:35:18 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2650</guid>
		<description>That "write up" doesn't prove that at all.  It might have some validity, if rates weren't being lowered in all states.

Unless you've got some belief that physicians are entitled to low insurance and insurers are entitled to profits no matter what.  In that case, why not just get immunity.

But glad you admit that you couldn't show causation.  That's the first step toward acknowledging the truth!</description>
		<content:encoded><![CDATA[<p>That &#8220;write up&#8221; doesn&#8217;t prove that at all.  It might have some validity, if rates weren&#8217;t being lowered in all states.</p>
<p>Unless you&#8217;ve got some belief that physicians are entitled to low insurance and insurers are entitled to profits no matter what.  In that case, why not just get immunity.</p>
<p>But glad you admit that you couldn&#8217;t show causation.  That&#8217;s the first step toward acknowledging the truth!</p>
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		<title>By: Catron</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2411</link>
		<dc:creator>Catron</dc:creator>
		<pubDate>Thu, 14 Jun 2007 22:14:11 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2411</guid>
		<description>Hi Moe,

I see those metacarpals are still in olympic condition. I'm not sure it's possible, if you discount the statements of the docs doing the procedures, to show direct causality. But the increase was caused by something, and I don't think there's a credible explanation that does not include the role of trial lawyers like Edwards. 

By the way, &lt;a href="http://www.heritage.org/Research/HealthCare/bg1908.cfm" rel="nofollow"&gt;here's&lt;/a&gt; a good write-up on the connection between malpractice caps and lower insurance rates.</description>
		<content:encoded><![CDATA[<p>Hi Moe,</p>
<p>I see those metacarpals are still in olympic condition. I&#8217;m not sure it&#8217;s possible, if you discount the statements of the docs doing the procedures, to show direct causality. But the increase was caused by something, and I don&#8217;t think there&#8217;s a credible explanation that does not include the role of trial lawyers like Edwards. </p>
<p>By the way, <a href="http://www.heritage.org/Research/HealthCare/bg1908.cfm" rel="nofollow">here&#8217;s</a> a good write-up on the connection between malpractice caps and lower insurance rates.</p>
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		<title>By: Morris Berg</title>
		<link>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2392</link>
		<dc:creator>Morris Berg</dc:creator>
		<pubDate>Thu, 14 Jun 2007 16:53:37 +0000</pubDate>
		<guid>http://www.healthcarebs.com/2007/06/13/john-edwards-has-already-changed-health-care/#comment-2392</guid>
		<description>Hold on . . . hold on.

"Although there is no credible scientific data showing that the incidence of cerebral palsy is in any way affected by the C-section choice, Edwards was very successful in convincing juries to punish physicians for not taking that option."

I agree that if true this is a great point: no credible evidence for causation =&#62; no case.  Now let us apply the same standard to your argument.

Where is the credible scientific evidence that malpractice concerns generally [and the more amazing claim - John Edwards specifically] caused c-section rates to increase?

And no - for the 167th time - the plural of anecdote is not data and just because your docotor buddy (or a doctor buddy of your doctor buddy) says something is "the cause" of his behavior DOES NOT make it "credible scientific data."

If you are going to make a claim about causality - whether you are John Edwards or Kevin M.D. - you need to offer evidence to support it.  

To cite the lack of "credible scientific data" in part of a broader argument that lacks "credible scientific data" is beyond the realm of sad irony.  I know that they do not teach formal logic in med school, but jeebus.  C'mon boys . . . CAUSALITY . . . show me CAUSALITY.</description>
		<content:encoded><![CDATA[<p>Hold on . . . hold on.</p>
<p>&#8220;Although there is no credible scientific data showing that the incidence of cerebral palsy is in any way affected by the C-section choice, Edwards was very successful in convincing juries to punish physicians for not taking that option.&#8221;</p>
<p>I agree that if true this is a great point: no credible evidence for causation =&gt; no case.  Now let us apply the same standard to your argument.</p>
<p>Where is the credible scientific evidence that malpractice concerns generally [and the more amazing claim - John Edwards specifically] caused c-section rates to increase?</p>
<p>And no - for the 167th time - the plural of anecdote is not data and just because your docotor buddy (or a doctor buddy of your doctor buddy) says something is &#8220;the cause&#8221; of his behavior DOES NOT make it &#8220;credible scientific data.&#8221;</p>
<p>If you are going to make a claim about causality - whether you are John Edwards or Kevin M.D. - you need to offer evidence to support it.  </p>
<p>To cite the lack of &#8220;credible scientific data&#8221; in part of a broader argument that lacks &#8220;credible scientific data&#8221; is beyond the realm of sad irony.  I know that they do not teach formal logic in med school, but jeebus.  C&#8217;mon boys . . . CAUSALITY . . . show me CAUSALITY.</p>
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