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Florida surgeon ‘devastated’ over death of patient after removing liver instead of spleen
(www.theguardian.com)
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And that’s basically it!
Yep the main driver is that people didn't need to fly, it's an option, so they had incentives to make it look safe (just being safe is very hard but not enough).
While most surgeries are not really optional and the only incentives are profit by hospitals. What are you going to do, not have surgery?