Philip Levitt, M.D. - Company Message
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How many bad doctors are there?

How many bad doctors are there among us? How many have a proven record of hurting many patients more than the average physician? This is my area of interest. I was a strict chief of staff of two hospitals over a five year period and looked upon my mission as protecting patients. If you reform or remove doctors who are identified as being dangerous to the public, overall health care should improve because 61% of all harms to patients in hospitals are attributable to the errors, diagnostic and therapeutic, of individual physicians.   

To answer my opening question, there is an estimate of the proportion of bad doctors, 2%, a deceptively small number. It is derived from a national registry of American doctors, the National Practitioner Data Bank. It holds records of license actions by state medical boards, hospital disciplinary actions and, most importantly, malpractice suit payouts for America's 650,000 doctors. A retired former statistician for the bank, Dr. Robert Oshel has shown that during the first twenty years of the data bank's existence, roughly from 1990 to 2010, that 2% of US doctors are responsible for 50% of the payouts in medical malpractice cases. The other half of the payouts are the responsibility of what I call the competent but fallible 98%.  The hard core 2% commit errors at a rate 49 times that of their other colleagues.   

A parallel study has been published in the past week from Australia.  Its methods and the data collected are somewhat different but the numbers are remarkably similar to those derived from the US National Practitioner Data Bank. A group of investigators headed by Marie M. Bismark of the Melbourne School of Population and Global Health has found in  a national sample of nearly 19,000 formal healthcare complaints lodged against doctors  between 2000 and 2011 that "3% of Australia’s medical workforce accounted for 49% of complaints and 1% accounted for a quarter of complaints." The Australian statistics and ours fit each other like a glove.     

The 2 or 3% are a special group. They are very hard to reform. Because 138,000 patients die each year of preventable errors in American hospitals, we could potentially save half that number by removing that hard core from our midst. The names of the 2% are a closely held secret of the National Practitioner Data Bank. It would take congressional action to disclose the identities of the doctors and to keep them from practicing, Congress could do the latter by eliminating them from the Medicare and Medicaid programs.      

There is a financial side to the problem. The former head of Medicare and Medicaid, Dr. Donald Berwick, has estimated that 300 billion dollars each year are wasted on improperly administered care and unnecessary care. We could take a big bite out of our national medical bill by eliminating our 2% from practice.    

The Australians are more sanguine than I. They would re-educate their repeat offenders. My experience as a chief of staff, anecdotal to be sure, tells me otherwise. These are incorrigible people with little insight. They are, also anecdotally, responsible for a lot of unnecessary care, not just inept care. There are a lot of blood and treasure at stake. Any one of us could fall victim to one of the 2%.  Leniency in this situation is ill advised.     

159 Comments to How many bad doctors are there?:

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Phil on Thursday, April 18, 2013 6:10 PM
Doctors protect each other and cover the mistakes of colleagues, the patient is double the dupe, sometimes not even recovered errors, bad doctors around the world
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Peary Brown R.N. on Wednesday, May 08, 2013 11:54 PM
Recently the third leading cause of death in the U.S. has been attributed to medicalmals and over treating. For many of us who've worked the field have long suspected the abuse is surely related to the dollar sign and, of course, careers are a big deal to protect. More importantly is the ability to avoid detection even in the direct evidence of bad doctoring and its there you learn it takes more than one to cover up errors. Everything from corrupt lawyers and cops to dirty nurses. And if that isn't enough you easily find out that investigators @ Medical Boards truly aren't investigators at all, simply people who somehow manage to buy new cars every year or so. Now if I didn't know what I was talking about, I would be very happy. But since I do know everything I say is solid evidential truth, and nobody cares, I'm left with only my private passion to hate. However, our quality of care has gone from internationally #12 to #37 ever since the for profit industry took over in 1990, so maybe the yous and mes can keep the fight on going. What a mess. Thanks for the vent. Good Luck.
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Philip Levitt, M.D. on Thursday, May 23, 2013 9:15 AM
Thanks Peary Brown, R.N. There is a good deal of variability in the quality of the work of the many state medical boards in America. California's is getting some bad press lately and in the past overlooked a big unnecessary heart surgery mill in Redding, CA. Here in FL we don't have too many complaints about the board of medicine, but the board gets to see only a fraction of what goes on that is undesirable. It would take a volume to go over all the ill effects on care of the corporate takeover of hospitals. The Leapfrog rating group gives As to a whole bunch of mediocre hospitals that know how to game the system.


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We could take a big bite out of our national medical bill by eliminating our 2% from practice.
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It would take congressional action to disclose the identities of the doctors and to keep them from practicing, Congress could do the latter by eliminating them from the Medicare and Medicaid programs.
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Philip levitt, M.D. on Friday, November 22, 2013 10:45 AM
Better late than never, although I suspect you've set things up for yourself by now. If the site appears pleasant to the eye, it was largely good fortune, not skill. One friend of mine, an author, objected to the gold lettering as hard to read. The longer I have had this blog the better I like the layout, but there were relatively limited choices. Contact Vistaprint and see what your options are if you haven't done so already.


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Karen Copeland on Monday, August 12, 2013 4:04 PM
My son developed a seizure disorder when he was 21 years old. His doctor did not prescribe any anti-seizure medication, did not warn him not to fish or swim alone, and DID prescribe Concerta (which triggers seizures) for him because he wanted part of it for himself. He died in March of 2010 from a seizure he had while fishing, alone, in 3 feet of water. I am not simply a grief-stricken mother seeking to assign blame. I have verified all these things. The doctor does not dispute any of them. I have notified the state medical board. They have done nothing. He is still in practice. I am having a very hard time believing there is absolutely nothing that can be done about such a dangerous doctor. Any suggestions at all?
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Peary on Wednesday, September 18, 2013 9:27 AM
These types of cases stand out to us that are affected and get hurt by the actions of others. I think it is very important to continue to pursue some form of justice although you'll unlikely get what you feel is needed. However, I would add keep spreading the 'word' and don't be surprised if hell comes your way. Don't fall away from what you know to be the truth; word of mouth and truth will effect this physician. I do understand. Keep posting other places as well. Start your own page and post as many details as you can. Research this physicians other patients. Good Luck, and save a life. I do feel your loss.


ayurveda remedies on Monday, September 02, 2013 10:51 AM
no0w a days doctors aim is how to collect money from public . they charge very high. only few doctors are their who respect their profession and their aim is save the people......
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Philip Levitt, M.D. on Wednesday, September 11, 2013 1:45 PM
The 98% of the doctors, other than the 2% who do a disproportionate amount of harm are mostly smart, conscientious and ethical people. They are safe and important pillars of their communities. Be careful not to throw out the baby with the bathwater. Spend a week with a trauma surgeon and you are likely to say something like, "They could never pay me enough to do what they do." Most of us are good guys.


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There are very few doctors among us and I think this is not purpose of doctors to hurt people. Doctors are considered as angels for saving the lives of patients but you bring into light some doctors who are always hurting patients and warn people to aware from them.
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he names of the 2% are a closely held secret of the National Practitioner Data Bank. It would take congressional action to disclose the identities of the doctors and to keep them from practicing, Congress could do the latter by eliminating them from the Medicare and Medicaid programs.
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Thanks for the kind words. Is it a paid theme? By this I suspect you mean did I have any choices of the layout. Vistaprint allows several choices of colors, layouts. To me, the writing is the thing but it doesn't hurt to have something that's pleasing to the eye. I'm glad some people think I succeeded with that but if I did, the saying, "better lucky than good" surely applies.


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A retired antecedent statistician for the slope, Dr. Robert Oshel has shown that throughout the foremost twenty years of the material strand's being, roughly from 1990 to 2010, that 2% of US medics are trustworthy for 50% of the payouts in medicinal malpractice cases.
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