They fail because of egos and arrogance. This is the root cause of a lot of life's problems. People think they are above it and too smart etc. They hate being "told what to do". An example, I have a family member who will complain about texting and driving from some position of superiority but who does it constantly himself. When challenged with that behavior he refuses to acknowledge it. He believes he is above it, better than those who cause accidents, and only those "lesser" people need to follow rules. It's an incredibly common behavior and doctors are no different...and in some cultures more likely to assert their status.
Honestly, he probably is. We need to have laws because most people do it carelessly. Not necessarily because all people do it carelessly. Naturally, those who know they do it safely aren't going to just lump themselves in with the majority that don't.
The problem is that it builds and establishes a habit that we will _accidentally_ engage in when we are tired, distracted, etc. This is where accidents happen, and why it is important to never consider yourself above the fray.
It’s not that anyone is always careless, it’s that everyone eventually has an off day, and in those off days our careful habits become careless ones.
He really isn't. He hits the rumble strips constantly when staring at his phone, and it only takes a second of inattention to kill someone. Being lucky so far isn't proof of competence. This attitude is the exact problem I was addressing in relation to the article...people thinking THEY are safe and others are the real problem and why we need checklists/rules.