Dr Sears on why drs kick non-vaxing parents out of their practice

[Anna's Lovey]

http://www.thehealthybelly.com/healt...&sub_tab_id=20

[Gitti]

... the HMO plans that they contract with do chart reviews and patient surveys at the end of each year. If their office scores high enough on these reviews, the HMO plan gives them a several thousand dollar bonus. ... One of the requirements for a patient’s chart to pass the test is that they are fully vaccinated.

Nothing new unfortunately! Pediatricians are selling their little patients down the drain for a few thousand dollars of fiat money. Shame!

[Baby_Vol]

Thank you for posting this!!!

[Turquesa]

Yes, thank you!! I hear a lot in this forum about docs getting "kick-backs" for vaxing, but this is the first time I've seen actual proof of it.

[stacey05]

Wow! That is great! I read on here several times that doctors do NOT get bonuses/kickbacks for having kids vaccinated, and I always thought they did. Thank you for posting this, as now we have proof! )

[Minarai]

Originally Posted by Gitti

Nothing new unfortunately! Pediatricians are selling their little patients down the drain for a few thousand dollars of fiat money. Shame!

That's capitalism, unfortunately.

[Turquesa]

Originally Posted by Minarai

That's capitalism, unfortunately.

....Or at least capitalism when applied to health care. I have nothing against the free market, but when combined with health care it simply. does. not. work.

Capitalism is based on an incentive to make money. Health care needs to be based on an incentive to make and keep people healthy. If you're profiting from treating, vaccinating, and medicating the sick, what incentive is there to keep them in a perpetual state of good health?

Despite some good-hearted health care providers out there, the two interests--making money and making people healthy--are just too disparate to work together.

If our health care system were not based on a capitalist system, I wonder what the vax schedule would look like....

[peainthepod]

This confirms what I've always suspected. Thanks for posting it here.

[Marnica]

Originally Posted by Turquesa

....Or at least capitalism when applied to health care. I have nothing against the free market, but when combined with health care it simply. does. not. work.

Capitalism is based on an incentive to make money. Health care needs to be based on an incentive to make and keep people healthy. If you're profiting from treating, vaccinating, and medicating the sick, what incentive is there to keep them in a perpetual state of good health?

Despite some good-hearted health care providers out there, the two interests--making money and making people healthy--are just too disparate to work together.

If our health care system were not based on a capitalist system, I wonder what the vax schedule would look like....

It may not be that different. Most other countries have National Health Care and their vax schedules are fairly intense (although not as intense as here). Most countries do not require vaccines for school either, but despite that fact, their rates are still pretty high. I think most people are just brainwashed to believe that vaccines are God's gift to modern medicine and they are necessary and GOOD!

[In Exile]

Our Ped (after YEARS of respecting parent's decisions in that aspect) JUST started to kick parents from his practice.

Does anybody know whether malpractice insurance recently "upped" their "requirements" for their Doctors? Because this community is pretty much in uproar among non/vaxers/selective vaxers because for years this Doc was none to respects parent's decisions.

I wonder what prompted the sudden 180 degree change. He obviously got along pretty well for a while without the "bonus"- why the sudden change now??

[Storm Bride]

Originally Posted by Turquesa

If our health care system were not based on a capitalist system, I wonder what the vax schedule would look like....

I think ours is almost exactly the same as yours, to tell the truth.

[2boyzmama]

Originally Posted by Turquesa

Yes, thank you!! I hear a lot in this forum about docs getting "kick-backs" for vaxing, but this is the first time I've seen actual proof of it.

Originally Posted by stacey05

Wow! That is great! I read on here several times that doctors do NOT get bonuses/kickbacks for having kids vaccinated, and I always thought they did. Thank you for posting this, as now we have proof! )

Well, I don't know that I would call this "proof" as it's just an article on a webpage saying "another dr told me..." I'd like to get ahold of the HMOs' written policy on chart reviews, or perhaps the contract between the HMO and the Dr's office. Those things can't be "secret", so I bet with enough searching, they can be found.

I don't consider this proof enough to spread around as anything more than just yet more suspicion. I, personally, think that drs are getting pressure at least, if not down right incentives, but I've yet to see the "proof".

[PlayaMama]

Originally Posted by 2boyzmama

Well, I don't know that I would call this "proof" as it's just an article on a webpage saying "another dr told me..." I'd like to get ahold of the HMOs' written policy on chart reviews, or perhaps the contract between the HMO and the Dr's office. Those things can't be "secret", so I bet with enough searching, they can be found.

I don't consider this proof enough to spread around as anything more than just yet more suspicion. I, personally, think that drs are getting pressure at least, if not down right incentives, but I've yet to see the "proof".

:

i've seen several doctors post that though they get lower insurance rates they still don't make their patients vax. just find a ped that doesn't if that concerns you. if enough parents do it, then they'll follow the money

[Jugs]

Does anybody know whether malpractice insurance recently "upped" their "requirements" for their Doctors? Because this community is pretty much in uproar among non/vaxers/selective vaxers because for years this Doc was none to respects parent's decisions.

Which state are you in? Depending on how each state runs their P4P program, he may not get a bonus if his compliance rate isn't high enough.

[Jugs]

Originally Posted by 2boyzmama

Well, I don't know that I would call this "proof" as it's just an article on a webpage saying "another dr told me..." I'd like to get ahold of the HMOs' written policy on chart reviews, or perhaps the contract between the HMO and the Dr's office. Those things can't be "secret", so I bet with enough searching, they can be found.

I don't consider this proof enough to spread around as anything more than just yet more suspicion. I, personally, think that drs are getting pressure at least, if not down right incentives, but I've yet to see the "proof".

Its called Pay For Performance (P4P). Each state sets their own goals for physician's to recieve an annual bonus, one of which is a high vaccination rate in their practice.
http://www.leapfroggroup.org/compendium_dt_home/4692933

In NY for example, one of the Medicaid plans pays an annual bonus of $200 for each 2-year-old who is fully-vaccinated on schedule; if the child is delayed or skips a vaccine, no bonus is given at all. That may not sound like much money, but even for a small paractice, if there are say... 10 2-year-olds, that $2000 can buy a nice piece of office equipment.

[In Exile]

Originally Posted by Jugs

Which state are you in? Depending on how each state runs their P4P program, he may not get a bonus if his compliance rate isn't high enough.

His office is in Maine. But his compliance must have been awful for years because he supported non vaxers for years in their decision. Now it's a sharp 180 degree turn, after years off being now for the MD you could trust in that aspect. Bizzare.

[peainthepod]

Originally Posted by Jugs

Its called Pay For Performance (P4P). Each state sets their own goals for physician's to recieve an annual bonus, one of which is a high vaccination rate in their practice.
http://www.leapfroggroup.org/compendium_dt_home/4692933

In NY for example, one of the Medicaid plans pays an annual bonus of $200 for each 2-year-old who is fully-vaccinated on schedule; if the child is delayed or skips a vaccine, no bonus is given at all. That may not sound like much money, but even for a small paractice, if there are say... 10 2-year-olds, that $2000 can buy a nice piece of office equipment.

How anyone could look at that and believe it to be ethical is totally beyond me. Doctors get paid to medicate children. Putting it baldly, that's what this means. And yet we're called paranoid for pointing out the blatant, obvious, incredibly dangerous conflict of interest. :

[Jugs]

Originally Posted by In Exile

His office is in Maine. But his compliance must have been awful for years because he supported non vaxers for years in their decision. Now it's a sharp 180 degree turn, after years off being now for the MD you could trust in that aspect. Bizzare.

Maine has been participating in Pathways To Excellence for a while now, which awarded ribbons for meeting certain criteria (a pediatric vaccination rate of at least 90% being one of them), and this past spring Maine also began participating in Pay For Performance. I'd have to do a lot of googling to get an accurate figure for how much P4P awards, but if I recall correctly, their state Medicaid program awards about $4000/year for each Medicaid patient in the practice who meets the P4P goals.