However, a main issue is who is liable when, during operation, certified software acts in a manner that the SCL certified was not possible. SCLs' survival and effectiveness largely depend on solving the issues of certification liability. What these amount to is a doctor getting another party or process involved in a diagnosis or treatment decision.
Doctors use outside authorities, in part, to reduce the risk of malpractice.
The more consensus built with respect to a particular course of action, the more due diligence has been shown. And more parties are culpable if something goes wrong. For instance, if a medical laboratory returns a false diagnosis that a tissue sample is cancerous and the doctor begins treatments that were not necessary, the doctor can ascribe some or all of the liability for this mistake to the laboratory. The added costs from spreading liability around in this manner are one reason for the cost increases in health care. Each extra opinion and extra test increase patient costs, because each care provider is a malpractice target.