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The IOM's 1999 landmark report, "To Err is Human," dropped the first bombshell, reporting that between 44,000 and 98,000 Americans die in hospitals each year from medical mistakes, costing an estimated $17 billion to $29 billion annually. HHS' new finding that medical mistakes kill 15,000 Medicare patients a month equates to 180,000 Medicare deaths per year - more than the IOM's estimate, which attempted to cover all patients in the United States. That means that the annual death toll in this country caused by mistakes in hospitals is well over 250,000 deaths a year! But perhaps the most startling finding by HHS is that a significant number of patients suffered injuries or died needlessly, as 44 percent of the medical errors were preventable.

Preventable medical errors kill and seriously injure hundreds of thousands of Americans every year. Any discussion of medical negligence that does not involve preventable medical errors ignores this fundamental problem. And while some interested parties would prefer to focus on doctors' insurance premiums, health care costs, or alternative compensation systems-anything other than the negligence itself-reducing medical errors is the best way to address all the related problems. Preventing medical errors will lower health care costs, reduce doctors' insurance premiums, and protect the health and well-being of patients.

Scramble the film backwards. Rewind. Go back to the day 10 years ago when the air here in Manhattan was thick with ash and Osama bin Laden was gloating. There were two options for the United States government -- to pick up a scalpel, or to pick up a blowtorch. With the scalpel, you go after the fundamentalist murderers responsible with patient policing and intelligence work, and steadily drain them of their support. With the blowtorch, you invade a slew of countries with a great blunderbuss of slaughter and torture -- and swell the army of enraged jihadis determined to kill. History branched in two possible directions that day.