JAMA Internal Medicine Viewpoint Highlights

Diagnostic Decision-Making, Burdens of Proof, and a $6,000 per Hour Memory Lapse by Steven H. Horowitz, M.D., of Massachusetts General Hospital, Boston, suggests that creating and implementing graded burdens of proof for differing clinical presentations could have multiple benefits: they could alter physician normative behavior, patient expectations and satisfaction; reduce malpractice concerns; and contribute to lower health care costs without compromising individual patient care.

(JAMA Intern Med. Published online July 8, 2013. doi:10.1001/jamainternmed.2013.8409.