Monday, June 14, 2010

Getting Paid to Comply

Hi, there -

Here's an interesting piece . . . is it "right" to pay patients to take their medications faithfully or is it coercion? (I thought coercion was the use of force - I suppose money can be forceful, but isn't it also a reward and therefore a "good" or a benefit?)

http://www.nytimes.com/2010/06/14/health/14meds.html?ref=health

Imposing a cost/benefit analysis, it costs less to pay the reward than it does to pay for the extra healthcare costs. And there is a trend here - it seems paying someone to do what they should do is taking hold - they are doing it in schools to raise grades and test scores. Why not in health care? We are becoming a society that does not give if it doesn't get, so decisions in the realm of medical ethics must be based upon social mores of our time, right? And the social mores of our time say, pay patients for compliance.

So, what do you think?

Carol

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