If you go to your doctor with severe pain or some other symptom suggesting a serious injury or illness, do you want him or her to have a financial incentive to treat you, or would you rather the doctor have a financial incentive to withhold care?
Although few will admit it, a sizable number of health-care policy wonks seem to prefer the latter, having apparently diagnosed doctors being paid for the care they provide patients as one of the problems with the U.S. health-care system.
This view was perhaps best expressed by President Barack Obama back in the summer of 2009, when he was pushing for what ultimately became the Affordable Care Act, a.k.a. Obamacare. "You come in and you've got a bad sore throat, or your child has a bad sore throat or has repeated sore throats," Obama said at a press conference. "The doctor may look at the reimbursement system and say to himself, 'You know what? I make a lot more money if I take this kid's tonsils out.'"
The heart of this allegation is what is known as fee-for-service medicine. Essentially, this means doctors are paid for the treatment they provide patients, no more and no less. In other words, pretty much the same way most of us pay lawyers, accountants, mechanics, hair stylists, and anybody else who provides a service for us.
How many children, old people, and law-abiding citizens have to be injured, terrorized, or killed before we call a halt to the growing rash of police violence that is wracking the country? How many family pets have to be gunned down in cold blood by marauding SWAT teams before we declare such tactics off-limits? And how many communities have to be transformed into military outposts - complete with heavily armed police, military tanks, and "safety" checkpoints - before we draw that line in the sand that says "not in our town"?






