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by c3534l 2887 days ago
I remember looking up a meta analysis back when Obamacare was being debated about why doctors have a skewed perception of the liklihood of being sued (that part is apparently not controversial in the literature). Most of the reasons found were just basic human psychological errors (I heard Bob got sued and I'm not taking into account that I know a thousand people and that Bob is only giving me his side of the story). But I do also remember the point being brought up that medical malpractice lawsuits follow a power law distribution where a minority of doctors get sued the most and repeatedly, while the vast majority of doctors may occasionally get sued, but rarely lose (yet it creates a perception that they were lucky, even though they're good doctors).

I think my takeaway from that analysis was that doctors are just as illogical as everyone else when it comes to things that aren't medicine. So you shouldn't really be surprised that they're unduly influenced by large, visible, and rare lawsuits, because that's how everyone works psychologically.

1 comments

>why doctors have a skewed perception of the liklihood of being sued (that part is apparently not controversial in the literature).

The correct place to look is not the perception of doctors, but the conclusions from actuarials in the setting if insurance rates.

If it was just a perception bias in the doctors, then it wouldn’t be reflected in the insurance premiums.

Doesn't insurance take perception into account too? If the true chance of a lawsuit is X, but doctors believe it's some Y that's greater than X, then an insurance company could price this as if it was Y, and get (Y-X) in free money. Is there enough competition in this space to prevent that?