“WHY DO YOU ROB BANKS?”
Patients Kept Nearly Dying at a Texas Hospital. No One Suspected an Inside Job.: How dangerous doctors keep slipping through the system—and how you can protect yourself. (Brent Crane, Nov 22, 2024, Men’s Health)
A disturbing reality was beginning to take shape: Someone at the North Dallas Surgicare center was tampering with those bags.
CLINICIDE REFERS TO doctors who intentionally cause a patient’s death during treatment. It was coined in 2007 by Robert M. Kaplan, a forensic psychiatrist in Sydney, Australia. Though the term is relatively new, the phenomenon is old. One of the first documented cases was that of William Palmer, who poisoned several patients in mid-19th-century England.
Other grim notables include Harold Shipman, a British general practitioner who is thought to have murdered as many as 450 patients in the late 20th century, and Michael Swango, M.D., an American who killed 60 patients in several U. S. states, Zambia, and Zimbabwe between 1983 and 1996.
Nurses have also been prolific killers. In fact, one 2006 study of serial murder by health-care professionals, published in the Journal of Forensic Sciences, found that nurses accounted for 86 percent of the prosecutions of these cases.
The personality types and profiles of perpetrators are myriad, but these people all do harm under the cover of care. The authors of a 2020 paper in the British Medical Journal were blunt: “Arguably, medicine has thrown up more serial killers than all the other professions put together.”
Varied as the psychological motivations behind clinicide may be, “the critical issue is the power doctors hold over life and death,” says Kaplan. Psychopaths, like Shipman and Swango, use the thrill of killing to overcome their inner emotional numbing, and there is also “a gray zone for those with massive hubris who will not accept criticism of their work and see themselves above the issues affecting their patients,” he adds. All of this raises the question: How can we, as patients, trust that our doctor is not one of the bad ones?In America, there are systems that are supposed to weed out the rotten apples. In 1986, Ronald Reagan signed into law the Health Care Quality Improvement Act. This enabled the formation of the National Practitioners Data Bank (NPDB), a federal database of physician disciplinary, malpractice, judgment, and conviction reports. It was intended to prevent dangerous doctors from jumping from state to state and to provide legal protection for those reporting negligent colleagues.
How is it, then, that nearly four decades later, the problem of lethal health-care professionals persists? That they can rampage through reputable facilities like the Baylor Scott & White North Dallas Surgicare center? One reason is that the average health-care professional is simply not on the lookout for malicious colleagues. “Medicine is messy, and you don’t always get the results you hope for or your patient hopes for,” says Kaplan. “So there’s a great degree of tolerance for adverse events. That takes you a long way before somebody starts thinking, Damn, is he deliberately killing these people?”