A malpractice claim is paid, but no civil or criminal charges were filed. The hospital has never before been identified as a doctor training facility. It is unknown what information patients are given about the involvement of trainees. Ladies and gentlemen, that is the message I am here to deliver. I agree that it is not about fixing blame, but unless our first concern is the patient instead of the provider, we will never fix the system.
Human beings make errors.
Human beings can at times be negligent. Human beings sometimes lack the skill or concern that can lead to unintended outcomes. Systems for preventing human beings from making deadly mistakes must be designed with a focus on human nature. When the system is to blame, then no one is responsible. I reject that notion.