Don't kill the messenger...your gripe is with JAMA, not me. I am just posting portions of the article. Draw your own conclusions. I made no claims about being an expert on anything. Someone asked for some info; I passed along what I had access to. If that individual poster wishes to dig further, they now have the information necessary to do so.
The implications in your post is that it's DANGEROUS, that you're taking a chance with your life to go to a doctor. And just to prove how right you are, you haven't seen a doctor in 40 years! That MAY be the only reason YOU'RE not dead, right?
You cite a study, but you cannot cite what is in the study. How the conclusions were reached, or what extenuating circumstances existed. For all we know, if somebody didn't get their tylenol on time and later died, it gets blamed on some doctor.