'Vast majority' of neurosurgeons practice defensive medicine: More than 75% of US neurosurgeons practice some form of defensive medicine--performing additional tests and procedures out of fear of malpractice lawsuits

Hunched over a table 8 hours, the patients surgery is taking longer than expected, any small slip means permanent damage. Your back is already damaged from the long hours over the table. Your mind has concentrated far longer Than that of any normal human. Any slip, you're screwed. You finish the surgery like you did every other, trying your best, going beyond what most other humans would be capable of, and everything seems to be going fine. The patient has been seeing you regularly for months after in some follow ups and appears to be satisfied, but notices that her arm has lost some sensation, but at least she's alive. You get a note from her lawyers one day though. She's suing for malpractice. You see her in person again for a checkup and ask her why, she says her lawyers told her it doesn't cost the doctors anything, it goes on insurance. You make $900,000 a year, but your insurance and other costs eat 400,000. Taxes destroy another 250,000 by the time the money is in your pocket. You are doing one of the most stressful jobs in the world for $250,000? You went to school for 8 years, stacked tons of debt, and went into an 8+ year residency and followed up with a fellowship just for this? The stress is killing you, literally. You begin using amphetamines to help concentrate while performing the surgeries and Xanax to calm down when they are over. Your back hurts for the constant lean. You get a prescription for back pain. You are now physically dependent on 3 substances to make it through the day and you cannot even enjoy what money you have anymore. The day takes to much from you and you are older than your age. Your wife likes the money, though. Your kids do too. You keep working for them.

If you want decent people to be willing to take the job, don't make it as stressful as possible. Yeah, there are some who will not work their hardest, but with 16 years of training, you think that somebody would take pride in their work and love it before making such an investment. If you want shitty doctors, be my guest, pay them shit wages compared to their level of training and stress and place so many regulations on them that their backs break and they don't even care about patients anymore.

/r/science Thread Link - mdnewsdaily.com