Sure. This is likely to happen for any identity-based motivation, not just financial. If someone gets good feelings of contribution and effectiveness by performing surgeries, they’re very likely to recommend it in borderline or not-fully justified cases.
If you don’t need surgery, don’t go to a surgeon. In theory, the price system gives victims of over-surgery a bit of additional motivation to stay away, but the repugnance of calculations about health is such that it doesn’t really work that way in most countries.
Good feelings alone don’t produce the institutional pressures that you have in current Western hospitals that are for-profit businesses.
You currently have a state of affairs where many doctors do have goals about the amount of surgeries that they do from their employer, that they are expected to reach.
I have a friend who worked as an anesthetist. According to his opinion he was part of operations that weren’t medically justified and when he complained with his colleges about it they didn’t justify their decision to operate on medical grounds.
In theory, the price system gives victims of over-surgery a bit of additional motivation to stay away, but the repugnance of calculations about health is such that it doesn’t really work that way in most countries.
That’s not how health care economics works in theory. People pay for health care to show that they care and paying more signals that they care more, see Hanson. There’s also a lot of research about sacred values in decision theory and most people treat health as a sacred value.
Sure. This is likely to happen for any identity-based motivation, not just financial. If someone gets good feelings of contribution and effectiveness by performing surgeries, they’re very likely to recommend it in borderline or not-fully justified cases.
If you don’t need surgery, don’t go to a surgeon. In theory, the price system gives victims of over-surgery a bit of additional motivation to stay away, but the repugnance of calculations about health is such that it doesn’t really work that way in most countries.
Good feelings alone don’t produce the institutional pressures that you have in current Western hospitals that are for-profit businesses.
You currently have a state of affairs where many doctors do have goals about the amount of surgeries that they do from their employer, that they are expected to reach.
I have a friend who worked as an anesthetist. According to his opinion he was part of operations that weren’t medically justified and when he complained with his colleges about it they didn’t justify their decision to operate on medical grounds.
That’s not how health care economics works in theory. People pay for health care to show that they care and paying more signals that they care more, see Hanson. There’s also a lot of research about sacred values in decision theory and most people treat health as a sacred value.