“Our healthcare system should reimburse doctors and hospitals for patient’s health outcomes”
Does this suggest that Kennedy is in favor of treating chronic pain patients to optimize a patient’s QOL? Could we bring back “pain is the 5th vital sign”? Could a lot of practitioners who are now “uncomfortable” in writing for opioids for pain management have a change in their belief of treating pain if their reimbursement was based on optimizing the pt’s level of pain and QOL? Will the DOJ/DEA get muzzled in raiding practitioners’ offices based on some nebulous statistical data? Should chronic pain pts reach out to RFK Jr to support his new patient treatment goals?
RFK Jr. Says the Medical System Has ‘Perverse Incentives’ for Doctors
https://www.medpagetoday.com/publichealthpolicy/healthpolicy/115141
We have to change that,” says Kennedy, who also praised the CDC’s work on the measles outbreak
HHS is trying to change the “perverse incentives” in the medical system, including the way doctors are paid, HHS Secretary Robert F. Kennedy Jr. said Tuesday.
“A lot of the negative behavior and self-destructive behavior in both the medical system — how we pay for healthcare — and how we eat is driven by perverse incentives,” Kennedy said at a press conference at the Indiana State Library in Indianapolis.
“Today, we have a healthcare system that reimburses doctors and hospitals for procedures rather than for health outcomes. We have to change that.”
On another front, Kennedy also said that the CDC “has done a very good job at controlling the measles outbreak. We’ve had about 700 cases nationally and in Europe, they’ve had 127,000 cases and 37 deaths.” That number contrasts with 2024, in which 285 measles cases were reported in the U.S. for the entire year, according to the CDCopens in a new tab or window.
“People get measles because they don’t vaccinate. They get measles because the vaccine wanes — the vaccine wanes about 4.8% per year, so you know that problem is always going to be around,” he continued. “We need to also make sure that doctors know how to treat measlesopens in a new tab or window and how to treat the associated diseases, the pulmonary disease that often comes with measles, and [the] bacteriological [ones] — we can’t rely simply on the vaccine.”
In contrast to Kennedy’s remark, experts say that the measles vaccine provides lifelong immunityopens in a new tab or window, which is how the U.S. achieved elimination status.
It’s “outrageous” that the government doesn’t have a better surveillance system for vaccine injuries, Kennedy said in response to a question from the audience — which was not audible on the livestream — that apparently raised the issue of a possible connection between vaccines and autism, a relationship that has been widely debunkedopens in a new tab or window.
The CDC did a study on HHS’s surveillance system, the Vaccine Adverse Event Reporting System — which allows for self-reporting of possible vaccine-associated injuries but does not verify them — in 2010, “and [found that] it captures fewer than 1% of vaccine injuries,” he said, noting that at the time, the CDC had a “machine counting” system for such injuries but they “put it on a shelf.”
“We are going to improve the surveillance,” Kennedy said. “We’re going to get the data sets from everybody we can. We’re going to make data-sharing agreements with scientists all over the world, with the best scientists, and we’re going to find out what contribution vaccines and everything else make — mold, EMF [electromagnetic fields], food, all of these other exposures — which one of those are the culprits? I suspect we’re going to see that there’s a lot of culprits, but we need to know.”
“People don’t have informed consent [for vaccination], and people don’t trust our agency anymore,” he added. “And the way to improve vaccination is to make the agency trustworthy, and that’s what we’re going to do.”
HHS is trying to change the “perverse incentives” in the medical system, including the way doctors are paid, HHS Secretary Robert F. Kennedy Jr. said Tuesday.
“A lot of the negative behavior and self-destructive behavior in both the medical system — how we pay for healthcare — and how we eat is driven by perverse incentives,” Kennedy said at a press conference at the Indiana State Library in Indianapolis. “Today, we have a healthcare system that reimburses doctors and hospitals for procedures rather than for health outcomes. We have to change that.”
On another front, Kennedy also said that the CDC “has done a very good job at controlling the measles outbreak. We’ve had about 700 cases nationally and in Europe, they’ve had 127,000 cases and 37 deaths.” That number contrasts with 2024, in which 285 measles cases were reported in the U.S. for the entire year, according to the CDCopens in a new tab or window.
“People get measles because they don’t vaccinate. They get measles because the vaccine wanes — the vaccine wanes about 4.8% per year, so you know that problem is always going to be around,” he continued. “We need to also make sure that doctors know how to treat measlesopens in a new tab or window and how to treat the associated diseases, the pulmonary disease that often comes with measles, and [the] bacteriological [ones] — we can’t rely simply on the vaccine.”
In contrast to Kennedy’s remark, experts say that the measles vaccine provides lifelong immunityopens in a new tab or window, which is how the U.S. achieved elimination status.
It’s “outrageous” that the government doesn’t have a better surveillance system for vaccine injuries, Kennedy said in response to a question from the audience — which was not audible on the livestream — that apparently raised the issue of a possible connection between vaccines and autism, a relationship that has been widely debunkedopens in a new tab or window.
The CDC did a study on HHS’s surveillance system, the Vaccine Adverse Event Reporting System — which allows for self-reporting of possible vaccine-associated injuries but does not verify them — in 2010, “and [found that] it captures fewer than 1% of vaccine injuries,” he said, noting that at the time, the CDC had a “machine counting” system for such injuries but they “put it on a shelf.”
“We are going to improve the surveillance,” Kennedy said. “We’re going to get the data sets from everybody we can. We’re going to make data-sharing agreements with scientists all over the world, with the best scientists, and we’re going to find out what contribution vaccines and everything else make — mold, EMF [electromagnetic fields], food, all of these other exposures — which one of those are the culprits? I suspect we’re going to see that there’s a lot of culprits, but we need to know.”
“People don’t have informed consent [for vaccination], and people don’t trust our agency anymore,” he added. “And the way to improve vaccination is to make the agency trustworthy, and that’s what we’re going to do.”
Filed under: General Problems
My first job after college was at the NYC office of a Japanese company. There I was told that Japanese people pay their GP a regular monthly rate as long as they’re healthy. But there is no fee for any time the person is ill. I don’t know how that would work for expensive treatment from someone besides your personal GP, but it did sound like an intriguing way to incentivize doctors to prioritize patients’ health.