HODAD- "Hands of Death And Destruction" - A Hopkins doctor wrote a book about the subject.
From the article:
"At a medical conference Dr. Marty Makary saw one of his Harvard professors who “looked out at a room of 2,000 doctors and asked ‘How many of you know of another doctor who should not be practicing because he is too dangerous?’ Every hand went up.” Yet few report bad doctors and those that do often get fired.
Hospital staff knows they are practicing bad medicine and mostly do nothing. In Makary’s provocative book, Unaccountable, he describes one Ivy League-trained doctor who’s popular with patients yet dubbed Hodad, by his colleagues, for his continuing string of patient deaths. Hodad is their dark humored acronym for “hands of death and destruction.”
Doctors are kind of like cops. They both do a life and death, high stress job, and are under assault from all corners (for different reasons). So they protect their own. But to improve illness survivability, and in the interest of trying to get more information to patients, there has to be some way to get information about doctors to patients.
On the other hand, any metric will be gamed. So - if doctors aren't willing to police themselves... what choice is there but trying to get metrics on them? We're not talking about a good and a bad choice, we're talking about a bad and worse choice - which one is less bad?
And if you think the teachers union is badass - the AMA is made up of doctors, who are smart and relentless and wealthy. They're a big lobby in DC (although smaller than I thought prior to looking them up. In recent election cycles, with Obamacare, I recall seeing them near the top of the list).