Monday, July 14, 2014

Fee for service results in overdoctoring

" The financial incentives for doctors are wrong. Sometimes a doctor should be rewarded for not
intervening !"

If we pay surgeons for doing surgery, then why are we surprised that they respond rationally to these economic incentives by doing more surgery ?  It's not the surgeons who are unethical - it's the incentives which are irrational !

If back surgeons were paid for not doing back surgery, I am sure many more of them would advise conservative non-surgical therapy ( just like so many orthopedic surgeons do , once they retire from active surgical practise)

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