Patient centered health care

Pharmacists are rewarded financially for filling generic prescriptions, regardless of what the patient and physician have decided. Managed care organizations also reap financial benefits when patients use generic medications and when they withhold or slow approval of needed testing and treatment. Is this a good thing?

The most economically favorable thing a physician can do is to poorly treat a patient. The patient will have many problems, will need many office and hospital visits and many tests. A physician who is economically driven can make thousands of dollars off a patient with minimal illness by focusing on profits first. Any thinking person would find this totally repugnant, that a physician would place his own interest above that of the patient.

Why should it be any different for managed care, pharmacists, medicare, or, come to think of it, malpractice attorneys?