The βstudiesβ that led to these numbers are incredibly flawed.
For example, say a patient has a small intracranial hemorrhage from a fall. Sheβs on eliquis, a blood thinner, because sheβs at risk of a stroke.
What does the neurosurgery team do with the eliquis?
Say they hold it. Two days later she has a massive stroke and dies. That would count as a medical error in the aforementioned studies.
Say they donβt hold it. The bleeding in her brain progresses and she dies. That would also count as medical error.
Doctors often walk in to advanced disease processes, many of which have no reliable data on the right course of treatment. Many treatment decisions have a potential for bad outcomes either way.
Sometimes you do surgery and the patient has a complication. Sometimes you donβt do surgery and the disease progresses.
We donβt have a crystal ball.
Itβs not like piloting an airplane, unless the pilot was taking over the flight while the plane was on fire, one engine was out, and it was heading straight at a mountain.
Doctors do make errors, and egregious ones should be punished, but these numbers are a joke.
Joe Rogan and Andrew Huberman look up how many Americans die from medical error each year, and the answer floors them both.
ROGAN: βOkay, so medical error is responsible for 251,000 deaths a year.β
HUBERMAN: βWhoa, thatβs crazy.β
ROGAN: βDo you understand how insane that is? Imagine if that was Pop-Tarts.β
That number comes from a 2016 Johns Hopkins study published in the BMJ. It estimated medical errors kill 251,454 Americans a year, which makes them the third leading cause of death, behind only heart disease and cancer.
And it gets worse. A 2023 Johns Hopkins and Harvard study found that misdiagnosis alone kills an estimated 371,000 Americans a year and leaves another 424,000 permanently disabled.
If an airline killed that many people, nobody would ever board a plane again.