Lies, Damed Lies Statistics and Yellow Journalism: Sure I’m defensive about this. The advocacy group Public Citizen has posted a report by Sidney Wolfe MD ranking the 50 state medical boards’ rates of serious disciplinary actions in 1999 and earlier years. My state, Massachusetts, rates near the bottom. Wolfe and Public Citizen imply that that means the medical board is lax, or that its members are covering for their inept colleagues:
“These data raise serious questions about the extent to which patients in many states with poorer records of serious doctor discipline are
being protected from physicians who might well be barred from practice in states with boards that are doing a better job of disciplining
physicians. It is likely that patients are being injured or killed more often in states with poor doctor disciplinary records than in states
with consistent top performances.”
But, at least for Massachusetts, couldn’t it mean that the quality of medical care is higher and the need for disciplinary action lower, as I think it might be? The state has four medical schools and an enormous proportion of its medical practitioners are medical faculty, leaders in their disciplines; another large proportion are researchers without enough patient contact to commit disciplinable offenses. Think about it: the four best-ranked states are AK, with a total of just 1160 physicians; ND, with 1596 physicians state-wide; WY, with 981; and ID, with 2278. Massachusetts had 27622 physicians in 1999.