Re:How to Build a Healthcare Unicorn?
by elliekelly on Sunday December 01, 2019 @12:12PM
(#21676462)
> There was a strange case where a doctor would give patients a drug to induce labour and give birth early.
It also allowed him to bill for Saturday deliveries which paid a higher rate. The story is well worth a read for anyone who missed it.
Edit: This article[1] just provides a summary. This article[2] was the original investigative reporting.
[1] https://www.thecut.com/2019/07/paul-shuen-toronto-medical-ma...
[2] https://torontolife.com/city/greed-betrayal-medical-miscondu...
Seems like people find a way to game everything. Yesterday I was reading elsewhere about what happens in long term care facilities where patients are kept around for unnecessary procedures until the insurance runs out and which point they are pushed back to the hospital under pretense of some emergency.
So Canadian doctors order whatever tests they are allowed and don't order tests you actually need. It is 1000% easier to get a cat scan than an mri even when an mri would provide more details in certain cases.
If they are allowed a certain test than they will say it's extremely important. If you point out other tests that could helpful those ideas are not well received.
The whole thing has become some strange lineitem exercises where doctors are gaming the system because the government keeps changing the rules to pay them less so they find ways to fight back.
There was a strange case where a doctor would give patients a drug to induce labour and give birth early. This allowed them to get over the quota of deliveries per month but there was a rule if the patient gave birth early they could go over the quota. After hundreds of early births the death rate was much higher for this one doctor.. this doctor was working for his own interests.