Question by : How Do We Fix the Incentive System in Health Care?
Currently we have a medical system that pays doctors based on number of prescriptions and procedures.
Patients without medical knowledge don’t know if the doctor is overprescribing and doctors naturally are inclined to believe something is needed and don’t want to suffer lawsuits in case they are wrong(whereas if the procedure was unnecessary and caused problems later chances are no one would know).
The incentive has nothing to do with actual patient health and everything to do with endless treatments. Sometimes more complex dangerous treatments are prescribed even when safer simpler treatments are available just because the doctor will get more money.
To opponents of single payer I ask how do you expect for the market to correct this problem? The market is directly incentivizing runaway health care consumption(if you have the money for it, leading to higher demand and then people who actually need health care can’t afford it) when the best thing would be if doctors had an incentive to help their patients’ health improve rather than just prescribe treatment after treatment and test after test.
To those who oppose single payer then should we pass a law requiring the private medical profession to base pay on outcome?
Best answer:
Answer by Cantankerous
We need single payer. Doctors who are in it for the money can go to wall street and pop rich people’s pimples.
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