Archives of Investigations and Editorials

The United States is a democracy. However, most US medical centers are governed more like dictatorships. Doctors do not elect their leadership. In fact, their leadership is often selected by a few select individuals appointed by the hospitals. This allows hospitals to hire and control doctors. Many states had realize this conflict and therefore have…

Medical device reporting (MDR) is notorious for under reporting of device problems. Companies tend to ignore physician complaints. So when you start to see an increase in device complaints, breakages, injuries and death, you only seeing the tip of the iceberg. And device companies are notorious slow in responding to device malfunctions. They tend to…

Aneurysm treatment may not result in complete aneurysm occlusion. Incomplete aneurysm occlusion increases the risk for aneurysm recurrence and rupture. Extent of aneurysm occlusion is rated as complete (1), partial (2), and incomplete (3). The rating of aneurysm occlusion is prone to bias. Physicians tend to rate their own aneurysm occlusion better than an independent…

Doctors are known to perform studies for companies. When they publish these articles in journals, the doctors are required to disclose their financial payments known as financial conflict of interests. Unfortunately, journals do not check or enforce these disclosure. It’s based on a good faith system. Doctors also perform studies for their own companies. Lazarus…

Hospitals are credentialed by The Joint Commission. The Joint Commission offers consulting services through Joint Commission Resources (https://www.jcrinc.com/about-us/our-team). The consultants charge exorbitant fees to hospitals to pass The Joint Commission credentialing. Some hospital administrators view this like a extortion protection scheme. By paying Joint Commission consultants, you get protection from The Joint Commission credentialing process…

Investors like companies with moats which means barriers to entry or competition. However, consumers are hurt by these barriers to competition because they pay higher prices. Hospitals build local moats to decrease competition. They lobbied for federal legislation to block competing hospitals. In fact, doctors are not allow to start new hospitals to compete with…