Dr. George Till, State Representative (D-Jericho) is back with another online Physician Survey on legislative issues related to health care. You may recall the foofaraw over his 2011 survey and its breathlessly reported topline: IF WE PASS SINGLE-PAYER, ONE-QUARTER OF VERMONT’S DOCTORS WILL LEAVE THE STATE!!!!!!
!!!!!!!!!!!!!
(Caps and italics mine. And exclamation marks.)
There were some problems, reported here at GMD if not elsewhere, that meant the survey was highly unreliable. Licensed physicians were notified of the survey by postcard, but anyone could go online and fill it out. Notification was only as reliable as Dr. Till’s mailing list. It was possible to fill out the survey more than once. The survey was unscientific; it wasn’t a true sampling of physician opinion, but a voluntary online poll of those motivated to fill it out. (36% of licensed physicians completed the survey.) Also, the “licensed physician” category includes a whole lot of people who are retired, have left medical practice, live in neighboring states but are licensed in Vermont, and have moved away but maintained their Vermont license.
(Many doctors maintain licenses in multiple states. Non-practicing doctors often keep their licensing current in case they decide to go back to medicine. Renewing an existing license is far simpler than re-applying.)
After the jump: slightly more secure, but still fundamentally flawed. Also, apes.
Well, Dr. Till has a new, improved, secure survey for 2012. As he noted in his postcard to physicians:
Because last years (sic) survey was contaminated by certain advocates and non physicians, your license number will be required to complete the survey.
Contaminated! “Take your filthy paws off my survey, you damn dirty ape!” Funny, that word “contaminated” rings a bell… From a comment posted on GMD April 12, 2011, about a week after Till’s first survey was released:
Rep. Till addressed the Democratic caucus today concerning the brouhaha with his survey. Basically, he was angry with the fact that the survey had been tainted by “contaminants”. He referred to the fact that some members of the caucus had accessed it, as well as maybe some others in the building.
At least some of those damn dirty apes were, as he himself noted, fellow members of his party caucus. Must have been an uncomfortable moment.
This time, in order to access the online survey, you have to enter your license number and specialty. I’m sure there are ways to hack it, but it should at least keep out the casual non-physician and cut down on specious responses.
However, all the other problems remain. This will not be a scientific survey because the responders are self-selecting. Till’s mailing list may or may not be comprehensive. Nonresidents, and nonpracticing physician, are still eligible to respond if they have Vermont licenses. We don’t know what will happen if a physician tries to take the survey more than once; will the survey reject a license number if it’s entered multiple times? (For instance, that semiretired orthopod in Rutland who’s a frequent guest on “Common Sense Radio” bashing HCR. He’s motivated, and he’s got time on his hands.)
Remember all of this in a few weeks, when Dr. Till holds a news conference and the Vermont media report this as a meaningful reflection of physician opinion.
‘Tisn’t.
p.s. If any of you damn dirty apes out there do manage to hack the survey, we’d like to hear. I’m especially interested in finding out which questions are asked and how they’re worded.