Comment Is it really bad to reduce aggressive treatment? (Score 4, Interesting) 245
"They often penalized surgeons, like the senior surgeon at my hospital, who were aggressive about treating very sick patients and thus incurred higher mortality rates," says Jauhar.
It is true, some surgeons who are willing to treat very difficult cases would be adversely graded. But shouldn't there be some mechanism to apply brakes to the aggressive treatment? Some patients, and some of the relatives will be seeking treatment even when the situation is utterly hopeless. There are incentives for the doctors and the hospitals to pursue aggressive treatment. So, under these circs, is it really bad these grades are making them reevaluate the cases and be more realistic about the prognosis?