Thursday, January 20, 2011  Religious dogma
e-Patient Dave said...   I hear you on this, but if the
situation is as you describe, we're in a more complicated mess
of denial than I realized.  Correct any of this that's
inaccurate:  My impression after just a couple of years spottily
watching healthcare is that FFS has two big problems because you
mainly get paid when you deliver treatments, not when people are
kept healthy. Si?  First, there's the perverse incentive: if you
want to make more money, you HAVE to do more
services/procedures. Which is NOT what anyone sensible would
want the system to do. (I ask people to think about this for
their kids: "Would you prefer to send your child to a system
where their income is tied to diagnosing and treating more
illnesses, or a system where they invest in keeping kids
healthy?")  Then there's the problem of "pelletizing" how docs
can spend their time. There's no insurance billing code for
researching the latest treatment options, coordinating care bet