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“Moral Dissonance” and Your Conscience

Dear Colleagues:

 

Enclosed is a short article by Leonid Kandel MD. I thought you might find this of interest, as if you’re like me, from time to time you may feel a moral tug-of-war between financial incentives and your own bias vs best interest of the patient. This is more subtle than you might think given how much of the evidence we choose to use for treatment recommendations is relatively low level and the result of flawed studies that are fragile or have poor methodology. Moreover, as our organizations move to more complex compensation plans which favor volume over value, this becomes even more of a problem for us (as the article states). Finally, we live, for the most part, in a healthcare environment where insurance payments are for service not for “quality” of the service or “value” we create for our patients. Thus, the best surgeons, in terms of patient outcomes, may also be the poorest compensated if they sacrifice quality for volume of care. What do you think?



I welcome your input on our LinkedIn website or our WhatsApp group.

 

 

Kind Regards and Happy Thanksgiving,

 

Jon “JP” Warner MD

Founder, CSS

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