Regarding the article on Public Citizen rankings:
Does its study take into account things like differences in education levels, socio-economic levels, attitudes toward physicians or other healthcare providers, and general ideas about litigation between the states?
I have been involved clinically and administratively in hospitals in every size, type, ownership and setting for a little over 40 years. While I cannot scientifically prove it, I can tell you that even today in some settings, the physician is practically revered and people are not going to complain.
Example: An individual visiting a physician in a clinic in a critical access/sole community provider hospital is very unlikely to complain about anything. At the same time an individual in a highly competitive healthcare market is much more likely to complain. In some settings, the patients overcomplain, and in others they undercomplain.
The whole thing is good for a headline for a few days but really seems defective as written.
Tom MadrinKennesaw, Ga.
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