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Manuel_D 7 days ago

> Like what the skin color has to do with how good your physician is? Nothing.

Unfortunately, this is not the case. Malpractice and disciplinary rates among Black and Latin physicians are higher: https://www.library.ca.gov/wp-content/uploads/2021/08/Medica...

> After controlling for a number of other variables, Latino/a and Black physicians were both more likely to receive complaints and more likely to see those complaints escalate to investigations. Latino/a physicians were also more likely to see those investigations result in disciplinary outcomes. On the other hand, some other minority physicians — in particular Asian physicians — actually saw reduced likelihoods of receiving complaints, or of those complaints escalating to investigations. These observations remained even after controlling for age, gender, board certification, and number of hours spent on patient care.

tomrod 7 days ago | parent | next [-]

Now do it outside the country, and I anticipate the results don't replicate, meaning your cited study probably fails replication.

Manuel_D 6 days ago | parent [-]

I'm not sure what you mean by this. Let's imagine MCAT scores directly determine malpractice rates. If one country practices race based affirmative action in medical school applications, and another country does not the we should expect the former to see a disparity but not the latter.

Why would we expect this trend to replicate across countries which have different medical training systems?

henearkr 6 days ago | parent | prev [-]

Same as my other comment.

Don't use a proxy.

Manuel_D 5 days ago | parent [-]

Is it defensible to claim that men don't commit more violent crime than women? Sure, men are convicted of violent crimes at a higher rates, but convictions for violent crimes is just a proxy for the true violent crime rate. If we want to make th claim that there's a disparity here we shouldn't use a proxy.

Of course, that logic doesn't work because convictions for crime is a pretty good proxy. If I want to discredit it, I'd have to actually explain why convictions for violent crime don't correspond to the true crime rates. If you have cause to think that malpractice lawsuits and disciplinary actions are not a good proxy for poorly administered medical care, I'm all ears.

henearkr 5 days ago | parent [-]

We agree to disagree.

Btw, criminal conviction related to the profession is not a proxy, it is really one of the things that matter, measured directly. So you're mixing concepts.

Manuel_D 5 days ago | parent [-]

> criminal conviction related to the profession is not a proxy,

Yes, it is a proxy. Some people commit crimes but aren't charged or convicted. Some people are falsely convicted. Convictions of crimes absolutely are a proxy for committing crimes.