{"id":6226,"date":"2016-08-01T18:10:22","date_gmt":"2016-08-02T02:10:22","guid":{"rendered":"http:\/\/www.fogcityjournal.com\/wordpress\/?p=6226"},"modified":"2017-05-28T22:57:14","modified_gmt":"2017-05-29T06:57:14","slug":"a-shot-in-the-arm-or-a-kick-in-the-gut","status":"publish","type":"post","link":"https:\/\/www.fogcityjournal.com\/wordpress\/6226\/a-shot-in-the-arm-or-a-kick-in-the-gut\/","title":{"rendered":"A Shot in the Arm or a Kick in the Gut?"},"content":{"rendered":"
\"Blue

Blue Cross Blue Shield in Michigan provide $400 to doctors who fully immunize children by\u00a0age 2.<\/p><\/div>\n

By Jill Chapin<\/a><\/strong><\/p>\n

August 1, 2016<\/p>\n

For people on either side of the vaccine debate, you might want to sit yourself down and compose yourself before you read any further.\u00a0 For someone like me who often casts a cynical eye on the devious doings of various organizations, I was not prepared for this one because it involves our children.<\/p>\n

I was directed to visit a PDF file of Michigan\u2019s Blue Cross Blue Shield\u2019s Physician Incentive Program.\u00a0 What is available for all to see on page 15 is that BCBS pays pediatricians hefty bonuses based on the percentage of children they fully vaccinate by age two –\u00a0 a \u00a0$400 payout for each child.\u00a0 You can do the math: one hundred fully vaccinated patients is a $40,000 annual bonus; two hundred patients would be an $80,000 disbursement.<\/p>\n

But according to the words of Blue Cross Blue Shield, pediatricians lose the entire bonus unless at least 63% of their patients are fully vaccinated, including the flu vaccine.<\/p>\n

To be fair, just because this incentive hangs over the heads of pediatricians does not mean that they succumb to this temptation.\u00a0 But it would be difficult to imagine doctors not even thinking about the rich rewards they would reap if they followed Michigan’s BCBS guidelines for vaccinating their young patients.<\/p>\n

Unsuspecting parents have heretofore believed their doctors are advising full immunizations based solely, only and completely on what is best and safest for their children.\u00a0 Now, they may be contemplating the unimaginable \u2013 that their advice just might also factor in their own personal financial gain.<\/p>\n

Yet how would a parent know?\u00a0 How could a parent dare to ask such an incendiary question: Do you receive a bonus if my child gets fully immunized by age two?<\/p>\n

I decided to call my daughter\u2019s pediatrician.\u00a0 Although she is now 41, we both have always adored this guy, and I flat-out asked him the above question, taking care to make it about pediatricians in general instead of him in particular.\u00a0 He said he never heard of it but he was interested in seeing the data if I should write an article about it.<\/p>\n

I also called Blue Shield of California, Michigan\u2019s Blue Cross Blue Shield, as well as the American Pediatric Association, but could not even get a prompt that would lead me to a live person. \u00a0I was able to speak to the executive director of the Michigan American Academy of Pediatrics. \u00a0\u00a0She said that the incentives for giving vaccines are no different from how all physicians are paid.\u00a0 She gave as an example how surgeons are paid in this same manner.\u00a0 I asked her what if surgeons are -paid, reimbursed, incentivized \u2013 couldn\u2019t get the exact terminology pinned down \u2013 if they perform five surgeries a month, but only three patients need it.\u00a0 Could this cause two needless surgeries based on compensation for doctors from Blue Cross Blue Shield?<\/p>\n

Instead of responding to this question, she repeatedly wanted to know my interest in this and who I represented.\u00a0 She was getting agitated but to her credit, she stayed on the phone and addressed my questions.\u00a0The most important question I asked was simply whether or not it would be in parents\u2019 best interests to know if their pediatrician participates in this incentive program.\u00a0 She would not answer this but suggested they call Blue Cross Blue Shield (in this case, Michigan\u2019s) to see if they would answer this question.<\/p>\n

I assured her that my only motive was to find a path for parents to get information of which they may be unaware.\u00a0 Semantics about payment verses incentives was hotly contested; she said that vaccines are expensive for doctors to purchase; the implication was that without incentives, doctors would lose money on each vaccine administered.\u00a0 This was so odd to me that I didn\u2019t pursue this convoluted logic any further.<\/p>\n

For those of you who still refuse to believe this is a huge conflict of interest and still feel positive about your toddlers\u2019 intense immunization schedule during their first two years of life, you might ask yourself if you would be so trusting of someone energetically recommending a particular product if you knew he gets a finder\u2019s fee for each product sold from his endorsement.\u00a0 In this case, you\u2019d only lose money if the product was a lemon; the stakes are a little higher with your child\u2019s health.<\/p>\n

I have no dog in this race.\u00a0 What drove me to write about this is a growing concern that patients are unaware of incentives to doctors for prescribing drugs, whether or not they are needed or whether or not they are the best drug for them.<\/p>\n

Even with all I have learned, I still am having difficulty absorbing this apparent truth.\u00a0 But if I should continue to deny this is occurring in spite of all that I have discovered, then maybe Goethe had me in mind when he wrote, \u201cWe are never deceived; we deceive ourselves.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

For people on either side of the vaccine debate, you might want to sit yourself down and compose yourself before you read any further. For someone like me who often casts a cynical eye on the devious doings of various organizations, I was not prepared for this one because it involves our children.<\/p>\n","protected":false},"author":12,"featured_media":6227,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[108,19],"tags":[2830,299,2831,357],"class_list":["post-6226","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthcare","category-opinion","tag-blue-cross-blue-shield","tag-children","tag-immunization","tag-michigan"],"yoast_head":"\nA Shot in the Arm or a Kick in the Gut? - Fog City Journal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fogcityjournal.com\/wordpress\/6226\/a-shot-in-the-arm-or-a-kick-in-the-gut\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Shot in the Arm or a Kick in the Gut? - Fog City Journal\" \/>\n<meta property=\"og:description\" content=\"For people on either side of the vaccine debate, you might want to sit yourself down and compose yourself before you read any further. 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