P4P: Treating to the test

Shrink Rap fears P4P measures will rob physicians of their thinking ability:

I remain skeptical that this is the wrong approach. Insurance company bureaucrats will have us “teaching to the test” in the same way that primary education has gone… and with the same disastrous outcomes, I fear. Kids can answer the questions, but can they think? Do we want doctors who just focus on keeping hemoglobin A1C’s down, speeding up the time that you get the first antibiotic during abdominal surgery, and counting up the number of cardiac patients they have on beta-blockers? Will we get lost in the forest, just tending to the trees?