> These ratings are not great because they incentivize doctors not to take more complex cases.

This reminds me of a scene in the recent Dr. Strange movie where the main character -- a neurosurgeon -- turns down a case because it had a high risk of failure and he didn't want to tarnish his perfect record.

> They claim to be risk-adjusted, but in reality you cannot adjust for all possible risk factors. Lots of things in medicine are very unique. There's very little that's more complex than human disease.

Isn't it better to approach the problem by improving how we do these risk assessments so that the risk-adjusted ratings are fair, as opposed to leaving patients in the dark about where to get the best care?