Moral Imperative

For those managing the care, be careful about economic incentives, or as Robert Burns said:: “The best laid schemes o’ mice an’ men / Gang aft a-gley.”

Economic incentives may (and often actually do) decrease a person's moral inclination to do the right thing. "Since I've long been a proponent of aligning economic incentives in medical care to encourage each class of actors to do the most socially beneficial thing, this is especially disconcerting. Would paying doctors bonuses for quality of their care decrease their inclination to give better care in the absence of such bonuses?"

From: "Incentivizing the Wrong Thing" – Originally published, Thursday, October 2, 2008  in my blog-series,"Healthcare Reform & Managed Care" on MDNG.com



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