How We Built a Payment System That Undervalues Thinking in Medicine
American medicine did not accidentally drift into its current imbalance between cognitive and procedural care. It was built that way, step by step, over the past 75 years.
The American Medical Association played a central role, not as the sole actor, but as the architect of key structures that continue to shape how physicians are paid and how care is valued.
@drrjv
RE
#ushealthcare system pays more for doing than for thinking
Yea, research says same
https://pubmed.ncbi.nlm.nih.gov/23939411/
Edited summery is in the ALT text image (AMA)
Cognitive care (pays Dr.less) is studying the health status and overall wellness in people that can take action and reduce their risk for dementia and other chronic diseases of aging
Procedural care (pays Dr. more) is a colonoscopy or a cataract extraction
The US health care system’s emphasis is on procedural care
DrBob, 🧠Mechanic
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