I think there is a big risk of litigation and a significant risk of abuse. I say this because we have examples from Alberta up to 1972, and we have examples right now in Europe, where you have after-the-fact reviews of what physicians have done. What physicians are doing is they are not reporting, because they don't want the hassle of spending time in the review process after the fact.
I'm not saying this is theoretical; I'm saying that in fact, today, if you go with after-the-fact review, you will not catch every death, you will have abuse, and you will have negligence.