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Message
re: Doctors Will No Longer Receive Financial Rewards for Vaccinating Kids
Posted on 3/27/26 at 3:56 pm to Anemone
Posted on 3/27/26 at 3:56 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
Cool, my dad’s been an anesthesiologist for 4 decades. Also from LSU med.
quote:
RFK is making you sicker.
He agrees with RFK.
GOTTA TRUST THE EXPERTS! Anyone who disagrees with RFK now is a denier of science!
…did I do it right?
Posted on 3/27/26 at 4:04 pm to Ailsa
More pharmacies and pharmacists make money off this than doctors. Make them do the shite for free.
Posted on 3/27/26 at 4:06 pm to Pezzo
quote:
ou/your practice have never received any financial benefit from pharma companies?
Nope. Pain in the arse and minimal profit.
Posted on 3/27/26 at 4:09 pm to beaux duke
quote:
that you believe every dumb thing you read online?
LINK
Evidently...you do. AP notoriously posts fake news...same as their "fact checkers".
Posted on 3/27/26 at 4:09 pm to the808bass
That makes sense to me—and I can see how capitated systems in particular would be more attentive to those kinds of metrics. I think the distinction I’m still trying to get clear on is between:
-the system tracking and trying to influence something and
-how much that actually changes behavior in practice
Especially when it’s one item among a large bundle of metrics, and sitting alongside things like standard of care and patient expectations (so they were going to vaccinate anyway.
For your local example, do you have a sense of whether groups like that actually see meaningful differences in vaccination rates compared to less tightly managed settings, or is it more of a marginal effect?
-the system tracking and trying to influence something and
-how much that actually changes behavior in practice
Especially when it’s one item among a large bundle of metrics, and sitting alongside things like standard of care and patient expectations (so they were going to vaccinate anyway.
For your local example, do you have a sense of whether groups like that actually see meaningful differences in vaccination rates compared to less tightly managed settings, or is it more of a marginal effect?
Posted on 3/27/26 at 4:17 pm to BrianKellysbuyout
quote:
Doctors should never receive financial incentives for anything. All part of their oath, doing no harm
The Hippocratic oath has been shelved...they now have the physicians pledge.
quote:
Of note is that, in the modern version of the oath, there is no prohibition against abortion; there is no promise by the physician to “do no harm” or never give a “lethal medicine” as in the original Hippocratic Oath. Undoubtedly, there are many modern ethical issues today that did not exist in the past, such as abortion and euthanasia. The pros and cons of these two topics dominate our world today.
The Muslim physician cannot swear allegiance to the original Hippocratic Oath because of its invocation to various Gods. In Islam, the first source of Islamic law is the Qur'an, which contains the rules of conduct that a person or group hold as reliable in differentiating right from wrong.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755201/
quote:
Modern challenges demand that physicians deal more and more with insurance companies and corporate medicine. As financial entities increasingly try to control physicians, the practice of medicine may become less and less of a profession able to achieve ideal goals for the individual patients. Medicine, as a noble profession, faces the conflicting forces of health economics on a daily basis and even with varying forms of “economic credentialing.”
As the efforts continued to study the exact changes for the Oath of Physicians, a growing concern was the “burnout” of the medical profession. In this era, physicians' professional conduct emphasizes ethical standing and knowledge at the same time as society appears to value popularity in social media and poles about opinions. This difference in perspective of true quality based on study, training, and experience versus perceived value based on advertising and other business entities has resulted in confusion and stress for many physicians. There is even a worry that the Oath itself, i.e., that mindset of self-sacrifice, is contributing to the burnout. Currently, the updated version of the 2017 Revised Declaration of Geneva [11] contains the words: “I WILL ATTEND TO my own health, well-being, and abilities in order to provide care of the highest standard.”
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166910/
Posted on 3/27/26 at 6:03 pm to TigerDoc
quote:
For your local example, do you have a sense of whether groups like that actually see meaningful differences in vaccination rates compared to less tightly managed settings, or is it more of a marginal effect?
I think they see meaningful changes. Certainly concentrated in the metrics that drive bottom dollars to them. For example, a patient on a capitated Medicare plan transitions to traditional Medicare A when the patient admits to hospice. Meaning all of the costs of their care related to the primary hospice diagnosis is now covered by Medicare A and those expenses are not borne by the capitated plan. As such, the health group was/is one of the top referrers to hospice in the city and they referred early.
Now, the benefit to the plan is not nearly as great for vaccinations, so I wouldn’t expect to see as much of an effect. But the doctors said that their metrics drove significant bonus dollars. And the sharp, driven doctors figured out ways to maximize those earnings. And they were huge advocates for adult vaccinations.
This post was edited on 3/27/26 at 6:04 pm
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