3 ms·

A one payer system doesn’t insulate doctors from personal incentives to cut costs. The details of compensation can easily encourage one time injections over lo

A one payer system doesn’t insulate doctors from personal incentives to cut costs. The details of compensation can easily encourage one time injections over long term care. Even if the injection is poison. I know for a fact that “bounty” type programs are used by Canadian public health authorities, and for-profit actors make money from them. I don’t know if this extends to long-term care scenarios, but there’s nothing about the way the Canadian health system is structured that offers strong protection against perverse incentives. Arguably, the horrible US for-profit health system offers stronger protection against this. A dead patient can’t be charged for more services. But a system that equates medical consumption with good care has it’s own set of problems too obvious to mention.

belval 4y ago
Respectfully this just display ignorance on how doctors are compensated in Canada. They are paid by the act, meaning that "doing X" gives them money. Euthanizing someone is compensated as a single act so there really isn't an incentive to do it. Most doctors are actually refusing to do it because of their oath (and yes they can refuse).
- metadat 4y ago
  Plenty of "specialists" make their living this way.
BeefWellington 4y ago
This post (and many others here) kind of put the ignorance of the "Canadian" system on display. It's not really one uniform system and has varying levels of privatization across the country because it is handled by provinces. > Arguably, the horrible US for-profit health system offers stronger protection against this. A dead patient can’t be charged for more services. But a system that equates medical consumption with good care has it’s own set of problems too obvious to mention. This isn't stronger protection; it just creates a different perverse incentive to effectively drag out someone's suffering.
- pseudalopex 4y ago
  > It's not really one uniform system and has varying levels of privatization across the country because it is handled by provinces. Does that structure offer strong protection against perverse incentives in all provinces?

belval 4y ago

Respectfully this just display ignorance on how doctors are compensated in Canada. They are paid by the act, meaning that "doing X" gives them money. Euthanizing someone is compensated as a single act so there really isn't an incentive to do it. Most doctors are actually refusing to do it because of their oath (and yes they can refuse).

metadat 4y ago
Plenty of "specialists" make their living this way.

BeefWellington 4y ago

This post (and many others here) kind of put the ignorance of the "Canadian" system on display. It's not really one uniform system and has varying levels of privatization across the country because it is handled by provinces. > Arguably, the horrible US for-profit health system offers stronger protection against this. A dead patient can’t be charged for more services. But a system that equates medical consumption with good care has it’s own set of problems too obvious to mention. This isn't stronger protection; it just creates a different perverse incentive to effectively drag out someone's suffering.

pseudalopex 4y ago
> It's not really one uniform system and has varying levels of privatization across the country because it is handled by provinces. Does that structure offer strong protection against perverse incentives in all provinces?