In short, here was a very smart guy who was simply repeating a mantra that the medical
malpractice insurance companies and his various professional associations were drumming into his head. He was not applying the rigorous scientific and logical process that he is fully capable of doing. Solve his 9 issues and you go a long way to reducing malpractice claims. Reforming malpractice law to the detriment of the patient makes administrators feel like they've "done something" but doesn't do anything to make health care better.