Hospital Kept Vegetative Patient on Life Support to Boost Survival Rates
propublica.org
propublica.org
This is also happening in university education these days where professor's performance is being measured by metrics that only roughly correlate to teaching ability. So, profs spend more time ensuring their metrics don't fall below the acceptable value than they do trying to improve their teaching performance. In other words, introducing these bad metrics to somehow measure and improve teaching performance, actually results in worse teaching performance.
[1] "When a measure becomes a target, it ceases to be a good measure." or
"when a feature of the economy is picked as an indicator of the economy, then it inexorably ceases to function as that indicator because people start to game it." https://en.wikipedia.org/wiki/Goodhart%27s_law
Obviously this results in worse outcomes for those patients either by requiring a less experienced surgeon or possibly not being operated on at all.
Can't immediately find a citation.
I mean other health care systems have various problems but when the profit-motive (in the form of the hospital administration) clashes with the medical side, we know which one usually wins.