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Astral Codex Ten Podcast


May 16, 2020

https://slatestarcodex.com/2015/09/16/cardiologists-and-chinese-robbers/

 

I.

It takes a special sort of person to be a cardiologist. This is not always a good thing.

You may have read about one or another of the “cardiologist caught falsifying test results and performing dangerous unnecessary surgeries to make more money” stories, but you might not have realized just how common it really is. Maryland cardiologist performs over 500 dangerous unnecessary surgeries to make money. Unrelated Maryland cardiologist performs another 25 in a separate incident. California cardiologist does “several hundred” dangerous unnecessary surgeries and gets raided by the FBI. Philadelphia cardiologist, same. North Carolina cardiologist, same11 Kentucky cardiologists, same. Actually just a couple of miles from my own hospital, a Michigan cardiologist was found to have done $4 million worth of the same. Etc, etc, etc.

My point is not just about the number of cardiologists who perform dangerous unnecessary surgeries for a quick buck. It’s not even just about the cardiology insurance fraudcardiology kickback schemes, or cardiology research data falsification conspiracies. That could all just be attributed to some distorted incentives in cardiology as a field. My point is that it takes a special sort of person to be a cardiologist.