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Adar posted:It's worth noting a lot of doctors hate this part of PPACA on the well reasoned grounds that it's going to create perverse incentives to avoid all the complex, hard to cure patients like the proverbial plague. Part of the reason the US system is broken on the cost end is that there is an existing perverse incentive to over-test and over-treat patients, so this has to have at least some merit, but on the other hand it's difficult to imagine doctors actively declining to see the guy with pancreatic cancer because of payment statistics. We'll see. PPACA is a very frequent conversation topic at my med school. Pretty much every physician you talk to has a different opinion on what's going to happen, from "it's a good first step" to "the sky is falling and we're all going to be out of jobs." Part of the reason testing expenses are so high to begin with is due to practicing defensive medicine: covering your rear end by ordering tests to rule out the worst case scenario, not because you believe it's at all likely but because your career would be destroyed if you missed it. Paying per patient is going to strain that practice.
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Mar 25, 2013 03:18
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| # ¿ Apr 23, 2024 13:21 |
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