Who Cares About The Injured?

How far will medicine go in becoming the great corporate beast in American culture. Presently our entire medical scheme is changing. Who makes the decision on what is "good" medicine and what is "bad" medicine is being slowly taken out of the hands of doctors and put into the hands, well not real hands, of a computer. Software guidelines maker Milliman has gained credibility in creating objective evidence based guidelines which are being used by the government (CMS). For the average person their reaction is usually "so?".
We don't really know, as citizens, who is making all the decisions about what is paid for by Medicare or Medicaid and who gets what benefit? Let me tell you who is pulling the strings: a computer owned and programmed by a private company called Milliman. The Milliman computer is advertised as an "objective" method of making decisions. Maybe that's true, but I'm skeptical.
They say medicine is an art not a science. I do believe that is true. Right now doctors fight hard to keep control of what care their patient receives. They say you need to evaluate the objective evidence but also known the patient and really listen to what another human being tells you is going on. Some in the scientific community think that sounds hokey.
In the scientific world the hard fact reason works better. There best argument is that it's their butt on the line when something bad happens. If they mess up and make negligent decisions they are held accountable (that means they are sued).
Here are two interesting positions converging. Insurance companies and government both want control over treatment decisions, and doctors want to escape liability. The obvious solution is to provide doctors immunity from responsibility for treatment outcomes as long as they follow what the government computer tells them is the "objective based" medical decision. Eventually we can rid ourselves of doctors for really smart computers.
I'm sure lawyers will continue working for big companies who use litigation as a tool to stop or financially bury small innovative start ups and other small businessmen (most of whom will deserve what they get for supporting tort reform in the first place.)