Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search
 

LawDeeDah

(1,596 posts)
9. I haven't read the entire article, it's quite lengthy and very interesting.
Mon Jan 26, 2015, 02:21 PM
Jan 2015
Doctors get paid more when they deliver more medicine

The best way for a doctor to make money in the United States for decades now has simple: prescribe treatments.

The American health-care system by and large runs on what experts describe as a "fee-for-service" system. For every service a doctor provides — whether that's a primary care physician conducting an annual physical or an orthopedic surgeon replacing a knee — they typically get a lump sum.

That's how most businesses work. Apple gets more money when it sells more iPads and the Ford gets more money when it sells more cars. But health care isn't like iPads or cars. Or, at least, it's not supposed to be.

---

But here's the thing: most American doctors aren't paid on whether they deliver that improved health. Their income largely depends on whether or not they performed the surgery, regardless of patient outcomes. Their patient's knee could be good as new or busted as always at the end — but, in most cases, that doesn't factor into their surgeon's ultimate pay.

==


Maybe you can cut/paste what you are talking about that the article covers?

Recommendations

0 members have recommended this reply (displayed in chronological order):

stupid idea that hurts the most ill and the most poor. Vattel Jan 2015 #1
Explain NoJusticeNoPeace Jan 2015 #3
It doesn't discourage doctors from over-prescribing. Vattel Jan 2015 #13
Incentivizing good medicine is a perverse incentive? NoJusticeNoPeace Jan 2015 #14
No, incentivizing types of practices that typically have good outcomes is the problem. Vattel Jan 2015 #15
Who says? That is ridiculous. NoJusticeNoPeace Jan 2015 #16
Calm down and just tell me how they would take that into account. Vattel Jan 2015 #17
If your job is to take care of terminal patients, you are then saying they would punish you NoJusticeNoPeace Jan 2015 #18
Palliative care of terminal patients is one thing. That would be easy to make an exception for. Vattel Jan 2015 #20
I think the argument is daredtowork Jan 2015 #23
It hurts shitty doctors. tridim Jan 2015 #5
The doctors that help the sickest patients will be penalized. eShirl Jan 2015 #10
No they wont. There will be exceptions for serious chronic illness. nt tridim Jan 2015 #11
So then everything becomes a "serious chronic illness" former9thward Jan 2015 #21
This will drive some folks nuts... NoJusticeNoPeace Jan 2015 #2
MEDICARE WILL PAY DOCTORS MORE WHEN PATIENTS GET HEALTHIER LawDeeDah Jan 2015 #4
It would not fund end-of-life care? Jackpine Radical Jan 2015 #7
I haven't read the entire article, it's quite lengthy and very interesting. LawDeeDah Jan 2015 #9
Prescription fees!!! QuebecYank Jan 2015 #6
+++ those doctors are imposters. And there are a lot of them. LawDeeDah Jan 2015 #8
I See Two Possible Flaws In This.... global1 Jan 2015 #12
In geriatrics, it can often be counted a success if the patient just doesn't get worse. WillowTree Jan 2015 #19
Does this disincentize a doctor from confirming disability? daredtowork Jan 2015 #22
Latest Discussions»General Discussion»Obamacare 2.0: the White ...»Reply #9