Why do individuals agree to unnecessary, high-risk surgeries?

By Melissa D. Tonn, M.D. and Bill Minick, J.D.

Why do individuals undergo unnecessary and potentially high-risk surgeries despite the risk of long-term debility or disability?  This may be attributed to a range of psychological, social, and economic factors:

First, is a Poor Understanding of Medical Information: Without a clear understanding of the medical issues involved, patients may rely on simplistic or inaccurate ideas to make important decisions about their health.

Financial Incentives: The promise of financial gain can be a powerful motivator, especially for those in difficult economic situations. The potential financial reward may be seen as outweighing the risks.

Perception of Risk: People often underestimate the risks associated with surgery due to optimistic bias or because the risks are not made clear to them.

Desperation or Vulnerability: Psychological factors, like the desire for validation of pain and suffering, or the psychological need to see a tangible outcome from a legal claim, may also drive individuals to take these risks.

Influence of Others: Advice from trusted individuals, such as attorneys or even doctors who may benefit from the surgeries, can unduly influence patients' decisions.

Media Influence: Stories of large financial settlements can influence an individual’s perceptions, making surgery seem like a viable path to quick financial gain.

Litigation Culture: In some regions, there is a strong culture of litigation where financial settlements for personal injuries are common, with family or friends providing encouragement to take part in the process.

Cognitive Dissonance: After deciding to pursue a lawsuit, individuals may feel a need to justify their decision with actions that seem to confirm the severity of their condition, such as undergoing surgery.

Healthcare System Dynamics: In systems where healthcare providers benefit financially from more procedures, there may be less of a deterrent against unnecessary surgeries.

It's crucial to ensure that patients are fully informed about the risks and potential outcomes of surgical procedures and that they understand the long-term implications of their choices.

Additionally, ethical practices must be enforced within both the medical and legal professions to protect individuals from being exploited for financial gain.