And Who is Exactly Surprised by This?
In a reasonable and
rational health care system doctors would be salaried employees who treat
and prescribe treatment based on what is best for the patient. In the United States physicians frequently
treat and prescribe based on what
is best for the physician.
The latest study focused on a common and
costly treatment for prostate cancer known as intensity-modulated radiation
therapy, which directs highly concentrated beams of radiation at cancerous
tumors. In many cases, it said, doctors who recommend the treatment have
financial relationships with those who provide it. For example, a group of
urologists may own radiation therapy equipment that is used by other doctors in
the same medical group to treat patients.
What about the patients?
The investigators, from the Government Accountability Office, said that Medicare beneficiaries
were often unaware that their doctors stood to profit from the use of radiation
therapy. Alternative treatments may be equally effective and are less expensive
for Medicare and for beneficiaries, the report said.
Now to a great extent this abuse is not the fault of
the doctors. They are doing what we
economists say they should do, maximize their profits. The fault is with the system, and those who
refuse to reform and regulate it in the name of ideology.
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