вы мне дали не ссылку на исследование, а запрос гуглу по фразе "defensive medicine"
ну да ладно...
читаем Ваши ссылки:
It's almost become an article of faith that the health care cost problem in this country can't be fixed until someone does something about defensive medicine.
Rep. Tom Price (R-GA), a physician, said recently on the House Republican website America Speaking Out that the tab runs "an astounding $650 billion each year. That's 26 percent of all money spent on health care."
But a series of studies published in the current issue of the policy journal Health Affairs suggests that number is not only dramatically too high, but that most of the popular proposals for addressing the medical malpractice problem — particularly capping damages for "pain and suffering" — would do little to reduce the practice of defensive medicine.
First, the numbers. Longtime malpractice and patient safety researcher Michelle Mello of the Harvard School of Public Health noted that some of the figures used during the recent health overhaul debate were "quite imaginative." (это как будто прям про Вас написали)
The total cost of medical malpractice-related costs to the health care system, including defensive medicine, is about $55.6 billion per year, or about 2.4 percent of annual health care spending. Defensive medicine is about 80 percent of that total, the researchers found.
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About $60 billion is spent annually on defensive medicine and many physicians feel they are vulnerable to malpractice lawsuits even when they practice competently within the standard of care," said Tara Bishop, MD, Associate, General Internal Medicine at Mount Sinai School of Medicine, and co-author of the study. "The study shows that an overwhelming majority of physicians support tort reform to decrease malpractice lawsuits and that unnecessary testing, a contributor to rising health care costs, will not decrease without it"
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The effects of malpractice liability reforms were analyzed using data on Medicare beneficiaries treated for serious heart disease in 1984, 1987 and 1990. Kessler and McClellan found that liability reforms could reduce defensive medicine practices. This led to a 5.3% reduction in medical expenditures for acute myocardial infarction patients and a 9.0% reduction for ischemia patients without any effect on mortality or medical complications. States with capping laws had average per capita health expenditure levels that were 3.4% lower than in states without such laws.
это
по серьезно больным пациентам (где риск больше)
здесь оценки уже поболе
Defensive medicine is notoriously hard to quantify, but some estimates place the annual cost at $100 billion to $200 billion or more.
как определить серьезность этих расчетов ? подскажите