The problem I see is that their is currenly no definition of 'death due to medical error' nor even classifications.
What I find interesting is that the three illnessess most commonly mentioned by Johns Hopkins are heart disease, lung cancer and strokes. Now all three of these have (in the main) got known causes and I think we have all been told that lifestyle choices are the best way to avoid these illnesses.
So if someone goes to their doctor or ends up in hospital and isn't honest about their lifestyle choices - that WILL confuse doctors. I know this because the very first lesson doctors recieve on diagnosis are the words 'ask the patient'. I'm not asserting people are lying although I have noted on BL people quite regularly saying they do... to get what THEY want... but if you lie, don't be awfully surprised if the doctor believes you. If you get used to the idea that lying to doctors is a good plan while you are young, it's possible that you will just see that as how you talk to doctors for the rest of your life.
I don't lie to doctors. I am severely messed up due to some extreme life events but I have steadfastly refused to increase my oxycodone dose for almost a decade and I want to see how long I can manage without NEEDING more. I'm 55, I'm pretty sure that after a decade, my pain clinic would likely consider it to be a reasonable request. I don't, because actually I don't need it. But I would like to think that if something awful happened, the hospital would see I was already tolerant to opioids and if emergency analgesia is required, not fear to provide the appropriate dose.
BTW yes - in the UK we still use diamorphine (heroin) medically and I suppose a doctor might consider it. I think a 30mg ampoule wouldn't kill me but would likely be about as much analgesia as any opioid can provide. But that;s the thing. I don't want to ever NEED it.
As
@LucidSDreamr rightly points out - the US is really messed up and the figure for fentanyl deaths only presumes toxicology reports showing 'fatal' concentration in bodily fluids. Does it cover people dying from infections caused by injecting? Does it cover people wandering in front of vehicles? I honestly don't know, but from what I'm hearing, I think the true figure might be lower than the reality. Why do that? Because if that true number was known, people would say 'clearly we can't arrest people to solve this issue - we need to think of alternatives'. But the US has the DEA. If a person's job relies on arresting people for crimes involving drugs, if you make drugs legal, no job. I'm sure there are people in the DEA who think what they do is right, but I'm certain there are many who know it's not working. But hey, they got a family to support and that's a tough call. I don't hate them, I just think having an agency devoted to control of drugs has made things worse for all Americans.
You guys need a DEA that polices the LEGAL suppliers of drugs but allows people to choose. That way they have a job, have a stack of experience in how to spot bad stuff and your drugs get safer, better and nobody gets their rice bowl broken.