In a special report published in The BMJ, Meera Kay, a journalist in Bangalore, asks what can be done about financial targets for doctors working in profit driven hospitals that lead to expensive but unnecessary tests and surgery that also come with risk of harm?

"Physicians said they feel tremendous pressure not to be wrong, while acknowledging that some of the tests they order are for non-medical reasons," said lead author Hemal Kanzaria, MD, an emergency physician at the University of California, Los Angeles, and a Robert Wood Johnson Foundation Clinical Scholar with support from the U.S. Department of Veterans Affairs.