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May 16, 2006

Child-Death Review Mistakes

It would have been interesting to listen in on the conversation between Solicitor General John Les and Chief Coroner Terry Smith shortly after the May 15th Vancouver Sun headline screamed: "Chief coroner: Province to blame for child-death review mistakes". The secondary heading, "Terry Smith blames underfunding, botched transition process", is unlikely to have mitigated the Solicitor's knee jerk.

Perhaps Minster Les should reread the letter the Committee for Competent Death Review sent him in November. He might also want to double check on 2003 email and telephone communications between Vital Statistics and the Coroner's Office.

Apart from those who watch reruns of Da Vinci's Inquest, most folks don't keep a close watch on the coroner's office, except for those who have lost a loved one with no answers as to why. In the absence of autopsies, the cause of death in many cases is nothing but guesswork. Autopsies are expensive; there are fewer and fewer of them although there is an extensive literature on errors that are detected by autopsies. Just do a Google search on the term "autopsy and medical error".

The Vancouver Sun story, in which Smith faults government cutbacks, degenerated into techno-baffle over the difference between individual and aggregate reviews. That is a fancy way of saying that individual deaths can be written off as statistically insignificant. That is not the position Gordon Campbell took when he was Leader of the Official Opposition in the 1990s, and it shouldn't be the position he takes today.

 

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