Tag: Antifragility

The Dirty Little Health Care Secret

In reading the book Antifragile: Things That Gain From Disorder by Nassim Nicholas Taleb, I learned about a field of study called, iatrogenesis.

Iatrogenesis is the degree of harm committed on patients by doctors and the health  care systems. In other words, iatrogenesis is all about how many people die because of errors by physicians and hospitals. The numbers are staggering.

According to one source, the number of deaths in the United States due to medical error is approximately 98,000! Remember, this number is from reported deaths, and may or may not be correct depending on how or whether errors are reported within a given hospital system.

The 98,000 to 100,000 number is supported by the references in this Newsweek article.

Other sources credit the number of deaths as over 225,000 patients. This is the number that brings iatrogenesis deaths up to the third largest killer in the nation. Even if this number is not correct, the 98,000 to 100,000 number is roughly equivalent to the deaths that would have been caused by a jumbo jet crashing, everyday.

One thing we do know is that the 100,000 level of iatrogenic deaths is conservative. Some say it is very conservative.

So, how does this affect us today? How does this affect Obama care? Here is my reasoning.

1. The mortality numbers published for the United States show our health system to be more deadly that many other countries. This difference is in large part attributable to our much larger number of doctors, hospitals, MRI and CT Scan machines per capita than any other country in the world.

2. It is obvious that the more health care you get, the greater you are at risk for being killed by the system.

3. According to Nicholas Taleb, the life expectancy of Americans will get longer as our medical care becomes rationed more and more like European health care.

You will notice that I have found one of the only positive things about Obama care. Even though everybody will pay more for healthcare, and everybody will get less healthcare, more people will live through the experience.

We will get the shaft from Obama in our healthcare system. Simply by the principles revealed in iatrogenesis, we should benefit.

How do you like them apples?