You have to start listening to The Happy Hospitalist. Here’s his first suggestion:

1. Remove failure to diagnose as a legal basis for a lawsuit.

To spend billions on testing “just to make sure” when your medical training says you already know the answer. The testing that is the result of that 0.5% chance you are wrong. No matter how much we try, we will never get it right 100% of the time. And that 0.5% unattainable goal is what drives much of the testing. As a society we need accept failure as a part of success. Some people may die, but many more will die as we bankrupt our system of care.

Unmanaged expectations are bankrupting our system.

Now read the rest.