Dr Death is a
podcast based on a dead-trees
article about Christopher Duntsch: a neurosurgeon who in his not brief enough and all too recent (i.e., this freaking decade) medical career engaged in "gross malpractice" resulting in serious permanent damage (including turning his best friend into a
quadriplegic) to dozens of patients and death to a few.
The main message of Dr Death turns out not to be how Duntsch was this crazy doctor going around possibly intentionally committing malpractice: but how the United States health care establishment provided cover for and enabled Duntsch to continue harming patients.
It took years of complaints, complaints (eventually) even by other physicians, before anything was done to keep Duntsch away from patients. And it was a local reporter who along with a Dallas area DA and not the medical establishment who put an end to Duntsch's criminal malpractice. The disturbing conclusion of Dr Death is that if it had been left solely up to the hospitals, health insurers, state licensing boards, medical schools--all of whom were alerted to Duntsch's incompetence during the course of his practice, not one of whom lifted a finger to put an end to Duntsch's medical malpractice--Duntsch would still be out there performing damaging brain surgeries.
Despite the salacious hook of a murderer in the OR, the lesson of Dr Death isn't that "wow, wasn't he a crazy doctor". It was the U.S. medical system is so bottom-line profit driven that Duntsch, once trained and licensed as a neurosurgeon, was such a valuable commodity to hospitals that after he'd fuck up a few patients at one hospital and that hospital would quietly pay off the damaged patients and send Duntsch packing there was always another hospital willing to hire him and let him operate on patients.
Couple the health-care industry's profit-driven willingness to overlook and enable lack of competence with the conspiracy of silence about mistakes (which makes the popo's blue line look like TMZ in comparison) and you end up with not just Christopher Duntsch killing and permanently disabling patient after patient--but hundreds of thousands of fatal mistakes each year that are buried or quietly paid off by the health care industry.
In terms of addressing safety standards, the U.S. health care system in 2021 is sorta where the U.S. auto industry was when Nader wrote 'Unsafe At Any Speed'. The automakers didn't give a shit about safety because profits were so obscene they could well-afford to pay off customers killed using their product. Just factor the cost of lost-limbs and lost lives into the sticker price, y0.
There are approx 270 million non-unique visits to health-care providers by Americans each year: out-patient office visits (130 mil), ER (100 mil), hospital stays (40 mil). About 1 in 700 of those result in fatalities due to health care provider mistakes (or more, if you only tally unique visits?). The U.S. airline industry flies around 850 million passengers each year, about 3x's as many. If 1.5 million U.S. airline passengers died each year due to pilot fuck ups people would stop flying.