Following a series of articles in the Norwegian major newspaper Aftenposten about a fatal case at Molde hospital , Pål Gulbrandsen explains in an essay published [in Norwegian] June 25 why such cases are handled so clumsily. Major points are 1) risks are not sufficiently communicated up front, 2) “average” doctors are shamed by superiors, 3) debriefings lack or are not performed adequately, and 4) due to the former, patients and relatives are not given timely and serious apologies.