To me, the major problem of double-checking all pathological
specimens is the time people have to spend on the inevitable waiting of the
result.
The problem may appear trivial. If the delay is 3 days for
each specimen, the patient may have, say, 5 extra minutes of meaningless extra
worry. (For visitors with some idea in health economics, the QALY is actually
very small.)
However, the number of specimen is astronomical. If, by
double-checking the result, each and every one of them costs a 5-minute lost of
meaningful life, each 100,000 specimens would mean the reduction of life span
of one year in one patient – take aside the effect of any delay in treatment.
The estimation is actually very simple. To the society as a
whole, the cumulative cost of meaningful life is roughly the same as the number
of extra pathologists that we need to hire to perform the double-checking. No,
the life of our pathologist is not wasted, but each patient makes part of our
time a meaningless waiting.
And, time, in the aggregate, is life.
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