How regulatory overreach is destroying innovation in U.S. health care

KevinMD July 8, 2025
Kayvan Haddadan, MD

Health care regulatory bodies have embraced a dangerous “accuse first, prove later” strategy that is eroding the foundation of our health care system. Physicians, the bedrock of patient care, are being subjected to accusations based on flimsy, illegitimate reports or random audits. Rather than building cases on substantial initial evidence, these authorities thrive on retrospective scrutiny—analyzing old notes, reframing past actions, and bending interpretations of guidelines to validate their accusations. This flawed approach doesn’t just inconvenience physicians; it devastates them.

Here’s the brutal reality:

• It erodes trust. Physicians increasingly view these authorities not as allies in delivering quality care, but as relentless watchdogs poised to attack. The relationship between oversight bodies and physicians has become adversarial, where support and...

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