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I don’t think the people today who start hearing voices…

“I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by…” quote by Mark Vonnegut
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““I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.””

Mark Vonnegut

About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

Healthcare incentives often prioritize cost over patient care, leading to poor follow‑up.

In simple terms: Incentives can harm patient outcomes.

Key Takeaway

Reform incentives to prioritize care.

Themes

healthcare incentives patient outcomes

Mood

concerned analytical

Type

critical policy

When to use this quote

  • insurance reimbursement
  • hospital administration
  • clinical guidelines

Key Concepts

policy economics clinical practice

Questions to Reflect On

  • What reforms could align incentives with patient health?
  • How can clinicians advocate for better follow‑up?
A Different Perspective

Changing incentives is politically complex and may face resistance.

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