The Hip Replacement Case Shows Why Doctors Often Remain Silent -By BARRY MEIER"Questioning the status quo in

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'Questioning the status quo in medicine is not easy,' said Dr. Harlan Krumholz, a professor at Yale School of Medicine. Physicians may remain silent for a variety of reasons, he and other experts said. They may fear that speaking out could get them sued or believe that a product problem was an anomaly or their fault. Doctors also have an aversion to reporting. For instance, while the Food and Drug Administration relies on physicians to help monitor product safety by alerting the agency to adverse patient reactions, doctors usually do not make such filings, saying they are too busy for the paperwork.' 'The standard in the medical community is not to report,' said Dr. Robert Hauser, a cardiologist who, along with a colleague, warned other doctors in 2005 about a defective heart implant. There is another reason doctors may choose to remain silent, experts say: their financial ties...'

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