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Posted on 3/27/26 at 2:28 pm to Anemone
Nobody trusts or believes you. That is what happens when people lie.
Posted on 3/27/26 at 2:31 pm to navy
quote:
Nobody trusts or believes you. That is what happens when people lie.
/end thread
Posted on 3/27/26 at 2:32 pm to moneyg
quote:I could tell stories from my 30 year career in healthcare that would shock you. Hell, I see the financial motivation, over care, EVERYDAY!
The majority of doctors are not driven by helping their patients.
Posted on 3/27/26 at 2:35 pm to Anemone
Good to see a new fellow LSU doc & appreciate you sharing your actual experience. There’s been a lot of back-and-forth about “incentives” but I’m not sure people have a clear picture of how this actually works on the ground. When you hear claims like this, what do you think they’re getting wrong (or oversimplifying)?
Do things like vaccination rates meaningfully factor into compensation in your world, or are they just one small piece of a much larger clinical and public health framework? I’m also curious if you've ever seen changes in payment structures actually move vaccination rates much one way or the other, or is that more something people assume from the outside?
Do things like vaccination rates meaningfully factor into compensation in your world, or are they just one small piece of a much larger clinical and public health framework? I’m also curious if you've ever seen changes in payment structures actually move vaccination rates much one way or the other, or is that more something people assume from the outside?
This post was edited on 3/27/26 at 2:36 pm
Posted on 3/27/26 at 2:42 pm to Dee_oh_Dee
quote:
Today, I trust you as much as I trust your employer. A doctor's opinion was highly respected because through history you were independent. You sank or swam based on your correct or incorrect advice. Eighty percent of you guys are going to parrot corporate or be fired.
winner, winner
The guy you are talking to has never experienced actually practicing medicine.
Posted on 3/27/26 at 2:46 pm to Ailsa
Explains why the pediatrician isn’t pushing as hard for vaccines for my newborn versus what they did for my 4 year old
Posted on 3/27/26 at 2:49 pm to TigerDoc
quote:
I’m also curious if you've ever seen changes in payment structures actually move vaccination rates much one way or the other
If the vaccination rates are part of incentive comp in either explicit or implicit fashion, doesn’t that suggest that the payor thinks the compensation will help drive vaccination rates?
Posted on 3/27/26 at 2:51 pm to jcaz
quote:
Explains why the pediatrician isn’t pushing as hard for vaccines for my newborn versus what they did for my 4 year old
This is probably due more to the pediatricians losing patients/ parents when they push on vaccinations.
And there are plenty of doctors who are parents who aren’t following vaccine schedules for their children, choosing to space them out over longer intervals.
Posted on 3/27/26 at 2:59 pm to the808bass
quote:
Explains why the pediatrician isn’t pushing as hard for vaccines for my newborn versus what they did for my 4 year old
What does this tell you?
Posted on 3/27/26 at 3:00 pm to Anemone
quote:
I'm an LSU undergrad and medical school alum. I have worked as a pediatrician in New Orleans for 11 years now. My pay has never hinged on vaccination rates. RFK is making you sicker. Not sure why anyone would trust him. Good luck.
How about GFY.
Repeated COVID-19 mRNA booster vaccination drives a progressive IgG4 antibody class switch that carries documented and plausible adverse event risks warranting urgent clinical surveillance.
Also, hospitals were reimbursed for covid vaccinations at a much higher rate. Why wouldn't you guys give them out for free? Why did you need to be reimbursed for vaccines the taxpayer paid for?
And that doesn't include the blank checks written to open testing centers. Your bosses were heavily incentivized to keep the covid charade going.
This post was edited on 3/27/26 at 3:08 pm
Posted on 3/27/26 at 3:04 pm to greygoose
quote:
I could tell stories from my 30 year career in healthcare that would shock you. Hell, I see the financial motivation, over care, EVERYDAY!
I believe you.
I didn't realize it until covid.
Seeing how easily the doctors got in line and chose not to question things was very eye opening.
Posted on 3/27/26 at 3:05 pm to the808bass
That seems fair - at least that someone designing the system probably thinks incentives might nudge behavior at the margins.
I guess where I’m less clear is how much weight they actually carry in practice relative to everything else (standard of care, guidelines, patient expectations, etc). Like, there’s a difference between “this is included in a broader incentive structure” and “this meaningfully drives physician behavior”, and I’m not sure those always line up.
Part of why I was asking is I’m curious whether people on the ground have actually seen vaccination rates move in response to compensation changes, or if it’s more of a theoretical lever than a dominant one.
I guess where I’m less clear is how much weight they actually carry in practice relative to everything else (standard of care, guidelines, patient expectations, etc). Like, there’s a difference between “this is included in a broader incentive structure” and “this meaningfully drives physician behavior”, and I’m not sure those always line up.
Part of why I was asking is I’m curious whether people on the ground have actually seen vaccination rates move in response to compensation changes, or if it’s more of a theoretical lever than a dominant one.
Posted on 3/27/26 at 3:09 pm to TigerDoc
quote:
Part of why I was asking is I’m curious whether people on the ground have actually seen vaccination rates move in response to compensation changes, or if it’s more of a theoretical lever than a dominant one.
Individual hospitals and health systems sometimes offered bonuses (e.g., a $500 "hope bonus" at Houston Methodist) or prizes to their own employees to encourage vaccination, aiming to ensure a safe workplace.
You tell us Doc.
This post was edited on 3/27/26 at 3:10 pm
Posted on 3/27/26 at 3:26 pm to dgnx6
That’s reassonable & I can see why systems might try something like that in a specific context like COVID.
I was mentioning to bass above that I can believe administrators think incentives might nudge behavior at the margins.
In your experience at Houston Methodist, do you know if that actually moved vaccination rates there in meaningful way, or was it more of a signal/encouragement than a major driver? (It's probably hard for most to know, but the administrators probably have a sense).
More generally, that’s kind of what I’m trying to get a feel for - whether these sorts of incentives tend to have measurable effects in practice and if getting rid of them will have any effect (that's why I asked this of our new pediatrician).
I was mentioning to bass above that I can believe administrators think incentives might nudge behavior at the margins.
In your experience at Houston Methodist, do you know if that actually moved vaccination rates there in meaningful way, or was it more of a signal/encouragement than a major driver? (It's probably hard for most to know, but the administrators probably have a sense).
More generally, that’s kind of what I’m trying to get a feel for - whether these sorts of incentives tend to have measurable effects in practice and if getting rid of them will have any effect (that's why I asked this of our new pediatrician).
Posted on 3/27/26 at 3:27 pm to Anemone
quote:
. As a pediatrician I ask families to trust me when I speak about polio, hepatitis, varicella and hpv.
Can you share your opinion vaccinating 6 months old and up for Covid-19?
Posted on 3/27/26 at 3:32 pm to Ailsa
Doctors should never receive financial incentives for anything. All part of their oath, doing no harm.
Posted on 3/27/26 at 3:41 pm to Anemone
quote:Mfer you do not sound trustworthy.
Anemone
I hate the way you’ve approached this thread with your 2 posts.
Why would you be so defensive? What level headed Doctor gets offended by folks correctly stating that not every fricking word out of your mouth is 1. Accurate and 2. In our best interests?
If a police officer looked you in the face and said “what? There isn’t one single bad cop in this country. Go believe your podcasters” you’d be wise to figure that cop for a piece of shite.
Posted on 3/27/26 at 3:48 pm to Ailsa
quote:
What does this tell you?
that you believe every dumb thing you read online?
https://apnews.com/article/fact-check-bill-gates-children-vaccine-886368946553
Posted on 3/27/26 at 3:49 pm to TigerDoc
quote:
I guess where I’m less clear is how much weight they actually carry in practice relative to everything else (standard of care, guidelines, patient expectations, etc). Like, there’s a difference between “this is included in a broader incentive structure” and “this meaningfully drives physician behavior”, and I’m not sure those always line up.
I think it probably drives behavior of physicians more in capitated situations. I know one health group here in St. Louis that specializes in capitated plans and their doctors are specifically incentivized by vaccination rates (among 100 other things).
And doctors’ eyes probably glaze over listening to an insurance company discuss their patients’ compliance rates and population health and vaccination rates, but the system isn’t glazing over when they hear that. And they’re going to implement policies and procedure to drive patient behavior to maximize value based plans.
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