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Old 07-28-2014, 09:21 AM - Thread Starter
 
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Pay for Performace

http://www.nytimes.com/2014/07/29/up...=top-news&_r=1

So a teacher friend of mine posted this and I thought it was interesting...and so wrong in so many ways.

Paying for performance when you have a goal and know the reward, is nothing but a bribe. A dirty, cheap way to get your agenda across to the masses is to pay people off and that's exactly what this does.

Prescribe asprin or pharmaceuticals to "at risk" patients? Get a reward. Give out X number of vaccines? Another reward. Where is the individuality of medicine? Whatever happened to "Do no harm" and treating people as distinct persons, not robots? Such a sad state of affairs when we have to pay off doctors to get better care from them, especially when that "better care" is designated by only certain groups.

I'm a dog trainer, I'm all for rewarding behavior...but never as a bribe. It needs to be genuine and random for it have any deeper meaning, and it shouldn't be monetary or even tangible for that matter. If we really want to make a difference in the world of medicine it really needs to begin with this perception of health and how we define it.
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Old 07-28-2014, 09:42 AM
 
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Behavioral modification.

Skinner?

Last edited by applejuice; 07-29-2014 at 09:10 AM.
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Old 07-29-2014, 11:39 AM - Thread Starter
 
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Yep, Skinner coined operant conditioning and the use of reinforcers. A random schedule of reinforcement would fall in line with a slot machine - which is part of what makes them so addicting Bribery, not so much because you can choose to ignore the reward if it's not enticing enough and eventually all rewards begin to loose their value if they are used as a bribe and the rewardee has the option out weight it out beforehand.
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Old 07-29-2014, 12:57 PM
 
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Pavlov

"The great enemy of the truth is very often not the lie, deliberate, contrived and dishonest, but the myth, persistent, persuasive and unrealistic."
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