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View Diary: US Health Care Unmasked: A true story (122 comments)

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  •  Then how do pay Physicians for you healthy? (0+ / 0-)

    How do you gauge if the ICU doc that just did a consult helped "keep you healthy".

    I hear the, "Let's pay Docs based upon the results of their medicine."  This is inherently unfair to the Physician.

    For example, a Physician says, "Stop eating sugar or you are going to get diabetes."  You keep on eating sugar and you get diabetes.  The Physician did his/her part but you didn't do yours.  Is it then fair the Physician isn't paid?

    Another example, a Lawyer says, "Don't rob a bank or you will go to jail."  You still rob a bank and go to jail.  The lawyer is still paid.

    These are simplistic examples but I hope that helps explain why I am against this approach until someone gives us a system that is fair to the Physicians.

    •  No, not at all if the obstensible goal (3+ / 0-)
      Recommended by:
      bleeding blue, Angie in WA State, Chi

      of a physician - to heal - is true:

      I hear the, "Let's pay Docs based upon the results of their medicine."  This is inherently unfair to the Physician.
      It's only unfair if the primary goal of a physician it to be a business person and suck down as many $$s into his or her pocket as possible.  Which is largely the case in this country.

      If you read the New Yorker article I link above, you will see how the Mayo Clinic is able to achieve superior health outcomes for their patients at 1/3rd the cost of the "business as usual" model of medicine generally practiced in  the USA.   Simply because they put the patient first, not their profits.

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