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	<title>Comments on: Doctors Kill</title>
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	<link>http://www.overcomingbias.com/2007/10/doctors-kill.html</link>
	<description>Overcoming Bias is economist Robin Hanson’s blog, on honesty, signaling, disagreement, forecasting, and the far future.</description>
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		<title>By: Benquo</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-473825</link>
		<dc:creator>Benquo</dc:creator>
		<pubDate>Mon, 06 Jun 2011 08:11:43 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-473825</guid>
		<description>&quot;&lt;em&gt;of my wife, who I’ve met&lt;/em&gt;&quot;

One would hope so.</description>
		<content:encoded><![CDATA[<p>&#8220;<em>of my wife, who I’ve met</em>&#8221;</p>
<p>One would hope so.</p>
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		<title>By: frelkins</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414161</link>
		<dc:creator>frelkins</dc:creator>
		<pubDate>Sat, 18 Oct 2008 16:01:02 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414161</guid>
		<description>&quot;if doctors were washing their hands enough&quot;

I wonder how many doctors if any are participating in &lt;a href=&quot;http://news.bbc.co.uk/2/hi/south_asia/7670855.stm&quot; rel=&quot;nofollow&quot;&gt;UN Hand Washing Day&lt;/a&gt; today.
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		<content:encoded><![CDATA[<p>&#8220;if doctors were washing their hands enough&#8221;</p>
<p>I wonder how many doctors if any are participating in <a href="http://news.bbc.co.uk/2/hi/south_asia/7670855.stm" rel="nofollow">UN Hand Washing Day</a> today.</p>
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		<title>By: Robin Hanson</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414160</link>
		<dc:creator>Robin Hanson</dc:creator>
		<pubDate>Wed, 17 Sep 2008 02:07:05 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414160</guid>
		<description>Vensa, the nurse was a close co-worker of my wife, who I&#039;ve met.
</description>
		<content:encoded><![CDATA[<p>Vensa, the nurse was a close co-worker of my wife, who I&#8217;ve met.</p>
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		<title>By: Vesna</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414159</link>
		<dc:creator>Vesna</dc:creator>
		<pubDate>Wed, 17 Sep 2008 01:45:42 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414159</guid>
		<description>I just found your blog, and this post, through Seth Roberts blog here: http://www.blog.sethroberts.net/2008/09/13/the-case-of-the-missing-evidence/

There&#039;s some discussion in the comments as to the reliability of the fired-nurse story. Could you please shed some light on that -- whether you actually ever met and talked to the fired nurse, how strong her evidence was that she was fired for the reason in the story, etc.? Did your wife actually know her, or know someone who knows her (who might turn out to be someone who knows someone who knows someone), that sort of thing? Thanks!
</description>
		<content:encoded><![CDATA[<p>I just found your blog, and this post, through Seth Roberts blog here: <a href="http://www.blog.sethroberts.net/2008/09/13/the-case-of-the-missing-evidence/" rel="nofollow">http://www.blog.sethroberts.net/2008/09/13/the-case-of-the-missing-evidence/</a></p>
<p>There&#8217;s some discussion in the comments as to the reliability of the fired-nurse story. Could you please shed some light on that &#8212; whether you actually ever met and talked to the fired nurse, how strong her evidence was that she was fired for the reason in the story, etc.? Did your wife actually know her, or know someone who knows her (who might turn out to be someone who knows someone who knows someone), that sort of thing? Thanks!</p>
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		<title>By: retired urologist</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414158</link>
		<dc:creator>retired urologist</dc:creator>
		<pubDate>Thu, 14 Aug 2008 18:06:56 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414158</guid>
		<description>Being a newcomer to the blog (and a doctor): believe me, I apologize to all of you for my pointless life. If only I had known, I should have been a tenured university professor. In addition to my intended purpose of improvement of my understanding of quantum mechanics, of efforts to bring about the Singularity, and of human cognition processes, I have read some of the archives on medicine; hence this late thread entry. I didn&#039;t see any of the participants on this thread state that he/she was in a full-time, at-risk occupation for subsistence wages; medical practice is a job, for which the workers wish to receive as much remuneration as is legally and ethically possible. It is definitely true that some get much better results than others, while still receiving similar income; yet none is &quot;tenured&quot;, with a guaranteed income regardless of production. While I realize that much more is spent on health care than on education, I had a thought when I read Dr. Hanson&#039;s comment in the thread that he teaches medical economics to his students semester after semester, and they never seem to learn what he is teaching. Then, it occurred that, by definition, all the doctors mentioned are products of the university educational system. Perhaps the Rand and other studies did not go far enough to find the root cause of the ineffectiveness of our health-care delivery personnel, even to the point of killing their own patients. Surely if they had understood economics better, they would realize that there are extreme diminishing-return issues when one kills his own customers. I say this somewhat (but not completely) tongue-in-cheek; perhaps every profession is fortunate to make a difference only once in a while, and then when examined economically, it is discovered that that one impact experience cost society beaucoups dollars. It&#039;s going to get worse: see &lt;a href=&quot;http://web.mac.com/drchip/iWeb/It%27s%20Not%20Hard/Blog/31548FBE-25BE-42A2-9233-A633DA0E3A17.html&quot; rel=&quot;nofollow&quot;&gt;this&lt;/a&gt;.
</description>
		<content:encoded><![CDATA[<p>Being a newcomer to the blog (and a doctor): believe me, I apologize to all of you for my pointless life. If only I had known, I should have been a tenured university professor. In addition to my intended purpose of improvement of my understanding of quantum mechanics, of efforts to bring about the Singularity, and of human cognition processes, I have read some of the archives on medicine; hence this late thread entry. I didn&#8217;t see any of the participants on this thread state that he/she was in a full-time, at-risk occupation for subsistence wages; medical practice is a job, for which the workers wish to receive as much remuneration as is legally and ethically possible. It is definitely true that some get much better results than others, while still receiving similar income; yet none is &#8220;tenured&#8221;, with a guaranteed income regardless of production. While I realize that much more is spent on health care than on education, I had a thought when I read Dr. Hanson&#8217;s comment in the thread that he teaches medical economics to his students semester after semester, and they never seem to learn what he is teaching. Then, it occurred that, by definition, all the doctors mentioned are products of the university educational system. Perhaps the Rand and other studies did not go far enough to find the root cause of the ineffectiveness of our health-care delivery personnel, even to the point of killing their own patients. Surely if they had understood economics better, they would realize that there are extreme diminishing-return issues when one kills his own customers. I say this somewhat (but not completely) tongue-in-cheek; perhaps every profession is fortunate to make a difference only once in a while, and then when examined economically, it is discovered that that one impact experience cost society beaucoups dollars. It&#8217;s going to get worse: see <a href="http://web.mac.com/drchip/iWeb/It%27s%20Not%20Hard/Blog/31548FBE-25BE-42A2-9233-A633DA0E3A17.html" rel="nofollow">this</a>.</p>
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		<title>By: anonymous</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414157</link>
		<dc:creator>anonymous</dc:creator>
		<pubDate>Thu, 28 Feb 2008 23:41:28 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414157</guid>
		<description>Doctor&#039;s often make serious mistakes that maim or kill people.  I personally had a routine surgery when I was a teenager and now have a serious chronic illness that resulted from the doctor removing too much tissue.

I live in pain every day because of it.  All the while all the doctor&#039;s that diagnosed me did not find the problem.  I ended up finding the issue on my own on the web.  I then went and confirmed the diagnoses with two separate physicians.  All that being said, a doctor gave me a chronic illness during a surgery and it cannot be cured.

While I do believe doctor&#039;s try their best to help patients they are often not aware of the damage they are doing.  Some doctor&#039;s are out to make a buck and will recommend surgery for the slightest of reasons.  For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U.S.  There didn&#039;t seem to be any reason for it except that this county&#039;s doctor&#039;s got huge bonus&#039;s for doing this type of surgery.

I guess that if you feel healthy and your doctor recommends surgery.  Make sure you research it yourself to make sure it is necessary.  Sadly even some doctor&#039;s will make a buck at the cost of a person&#039;s health or life.
</description>
		<content:encoded><![CDATA[<p>Doctor&#8217;s often make serious mistakes that maim or kill people.  I personally had a routine surgery when I was a teenager and now have a serious chronic illness that resulted from the doctor removing too much tissue.</p>
<p>I live in pain every day because of it.  All the while all the doctor&#8217;s that diagnosed me did not find the problem.  I ended up finding the issue on my own on the web.  I then went and confirmed the diagnoses with two separate physicians.  All that being said, a doctor gave me a chronic illness during a surgery and it cannot be cured.</p>
<p>While I do believe doctor&#8217;s try their best to help patients they are often not aware of the damage they are doing.  Some doctor&#8217;s are out to make a buck and will recommend surgery for the slightest of reasons.  For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U.S.  There didn&#8217;t seem to be any reason for it except that this county&#8217;s doctor&#8217;s got huge bonus&#8217;s for doing this type of surgery.</p>
<p>I guess that if you feel healthy and your doctor recommends surgery.  Make sure you research it yourself to make sure it is necessary.  Sadly even some doctor&#8217;s will make a buck at the cost of a person&#8217;s health or life.</p>
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		<title>By: anonymous</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414156</link>
		<dc:creator>anonymous</dc:creator>
		<pubDate>Thu, 28 Feb 2008 23:39:35 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414156</guid>
		<description>Doctor&#039;s often make serious mistakes that maim or kill people.  I personally had a routine surgery when I was a teenager and now have a serious chronic illness that resulted from the doctor removing too much tissue.

I live in pain every day because of it.  All the while all the doctor&#039;s that diagnosed me did not find the problem.  I ended up finding the issue on my own on the web.  I then went and confirmed the diagnoses with two separate physicians.  All that being said, a doctor gave me a chronic illness during a surgery and it cannot be cured.

While I do believe doctor&#039;s try their best to help patients they are often not aware of the damage they are doing.  Some doctor&#039;s are out to make a buck and will recommend surgery for the slightest of reasons.  For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U.S.  There didn&#039;t seem to be any reason for it except that this county&#039;s doctor&#039;s got huge bonus&#039;s for doing this type of surgery.

I guess that if you feel healthy and your doctor recommends surgery.  Make sure you research it yourself to make sure it is necessary.  Sadly even some doctor&#039;s will make a buck at the cost of a person&#039;s health or life.
</description>
		<content:encoded><![CDATA[<p>Doctor&#8217;s often make serious mistakes that maim or kill people.  I personally had a routine surgery when I was a teenager and now have a serious chronic illness that resulted from the doctor removing too much tissue.</p>
<p>I live in pain every day because of it.  All the while all the doctor&#8217;s that diagnosed me did not find the problem.  I ended up finding the issue on my own on the web.  I then went and confirmed the diagnoses with two separate physicians.  All that being said, a doctor gave me a chronic illness during a surgery and it cannot be cured.</p>
<p>While I do believe doctor&#8217;s try their best to help patients they are often not aware of the damage they are doing.  Some doctor&#8217;s are out to make a buck and will recommend surgery for the slightest of reasons.  For example a region in the Midwest had 10 times more heart bypass operation that in any other county in the U.S.  There didn&#8217;t seem to be any reason for it except that this county&#8217;s doctor&#8217;s got huge bonus&#8217;s for doing this type of surgery.</p>
<p>I guess that if you feel healthy and your doctor recommends surgery.  Make sure you research it yourself to make sure it is necessary.  Sadly even some doctor&#8217;s will make a buck at the cost of a person&#8217;s health or life.</p>
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		<title>By: Pablo Stafforini</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414155</link>
		<dc:creator>Pablo Stafforini</dc:creator>
		<pubDate>Thu, 18 Oct 2007 16:29:46 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414155</guid>
		<description>&quot;horientation&quot;?  now that&#039;s a weird typo.
</description>
		<content:encoded><![CDATA[<p>&#8220;horientation&#8221;?  now that&#8217;s a weird typo.</p>
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		<title>By: Pablo Stafforini</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414154</link>
		<dc:creator>Pablo Stafforini</dc:creator>
		<pubDate>Thu, 18 Oct 2007 16:27:25 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414154</guid>
		<description>I’m inclined to think that any agent who holds views on a wide range of topics is likely to be biased if those views can be reliably predicted by the agent’s position on the left-right continuum, since there is no good reason to expect anything more than a weak correlation between the truth of a view on some random topic and the political horientation of those who subscribe to it.  This applies to individual and institutional agents alike, and may explain why many of us are sceptical about the AEI.

Like Anders, I also find this issue interesting, and second his suggestion to start a dedicated thread.
</description>
		<content:encoded><![CDATA[<p>I’m inclined to think that any agent who holds views on a wide range of topics is likely to be biased if those views can be reliably predicted by the agent’s position on the left-right continuum, since there is no good reason to expect anything more than a weak correlation between the truth of a view on some random topic and the political horientation of those who subscribe to it.  This applies to individual and institutional agents alike, and may explain why many of us are sceptical about the AEI.</p>
<p>Like Anders, I also find this issue interesting, and second his suggestion to start a dedicated thread.</p>
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		<title>By: Anders Sandberg</title>
		<link>http://www.overcomingbias.com/2007/10/doctors-kill.html#comment-414153</link>
		<dc:creator>Anders Sandberg</dc:creator>
		<pubDate>Wed, 17 Oct 2007 17:45:09 +0000</pubDate>
		<guid isPermaLink="false">http://prod.ob.trike.com.au/2007/10/doctors-kill.html#comment-414153</guid>
		<description>The AEI issue is interesting, and might merit its own dedicated thread. We quite often evaluate the reliability information almost solely based on the originating organisation  - and this organisation/reliability information is likely often picked up from others rather than arrived at by experience or deliberate evaluation. I remember a friend who almost hyperventilated when I mentioned dealing with a certain centre-right Swedish think tank. He had never read anything from them, but &quot;knew&quot; from his social democrat context that everything they did was biased and bad.

When is this approach a bias and when is it just a prior? It seems to be very vulnerable to several bias-promoting processes like stereotyping, groupthink, outgroup bias, halo effects and availability biases. If group X has opinion Y, then adherents of opinion Z have an incentive to argue against everything related to X, and to promote this even when Z and Y are not the direct subject of discussion.



</description>
		<content:encoded><![CDATA[<p>The AEI issue is interesting, and might merit its own dedicated thread. We quite often evaluate the reliability information almost solely based on the originating organisation  &#8211; and this organisation/reliability information is likely often picked up from others rather than arrived at by experience or deliberate evaluation. I remember a friend who almost hyperventilated when I mentioned dealing with a certain centre-right Swedish think tank. He had never read anything from them, but &#8220;knew&#8221; from his social democrat context that everything they did was biased and bad.</p>
<p>When is this approach a bias and when is it just a prior? It seems to be very vulnerable to several bias-promoting processes like stereotyping, groupthink, outgroup bias, halo effects and availability biases. If group X has opinion Y, then adherents of opinion Z have an incentive to argue against everything related to X, and to promote this even when Z and Y are not the direct subject of discussion.</p>
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