Sure, but the same incentive applies to fire departments & hospitals. Many organizations get their funding exclusively from harmful events. And even if firefighters have a (weak) incentive against fire safety, they couldn’t stop us from practising it anyway.
Hospitals make money from treating people not from people being ill. Their problematic incentives get them to treat people that don’t really need hospital treatment more than they have an incentive to make people ill.
Given people a routine colonoscopy when there’s no evidence that routine colonoscopies increase lifespan and then treating what’s found, could be seen as creating disasters (positive test results) but thinking of the positive tests as a harmful event mistakes the dynamics.
Sure, but the same incentive applies to fire departments & hospitals. Many organizations get their funding exclusively from harmful events. And even if firefighters have a (weak) incentive against fire safety, they couldn’t stop us from practising it anyway.
Hospitals make money from treating people not from people being ill. Their problematic incentives get them to treat people that don’t really need hospital treatment more than they have an incentive to make people ill.
Given people a routine colonoscopy when there’s no evidence that routine colonoscopies increase lifespan and then treating what’s found, could be seen as creating disasters (positive test results) but thinking of the positive tests as a harmful event mistakes the dynamics.