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851 points swyx | 1 comments | | HN request time: 0.204s | source
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a-dub ◴[] No.25830760[source]
> "Hmmmm," she said, picking at her fingernails. "Not directly. Of course I always have the best interests of my patients in mind, but, you know, it's not like they'll pay more if I prescribe Lexapro instead of Zoloft. They won't come back more often or refer more friends. So I'd sorta just be, like, donating this money if I paid you for this thing, right?"

this is the problem. the incentives in healthcare are messed up. doctors are paid for their time, not for their outcomes. if a patient comes in and is prescribed a therapy, and they don't have to come back, the doctor should receive more than if the patient returns because the therapy had an issue.

replies(4): >>25830872 #>>25830929 #>>25832395 #>>25837681 #
1. thehappypm ◴[] No.25837681[source]
Between the lines, the real doctor perspective here is "Medicine A, which I have been seeing success with for decades, is (according to this site) less effective than Medicine B. I really trust Medicine A, so I don't think this is enough of a nudge to make me change my mind necessarily."