Benjamin Murphy2 said:I never claimed there wasn't corruption in healthcare, but saying it's 20% is just insulting.
But I can already see this turning into one of those debates where people grab one sentence out of context just to tear you down.
Noah Vaughn3 didn't say her mom takes $167 from every single patient—given her profession, I doubt she even gets a free Jack Daniel's from every fiftieth person.
Besides, if someone gives you a bottle of booze after you've finished treating them, how is that a bribe? You did your job, honestly and professionally, without expecting a thing, and then the person simply shows their gratitude. It actually touched me once when an old gentleman brought me a handmade wall lamp and a candle holder after I helped save his wife. Is that a bribe? Is that corruption? Or is it just being human and wanting to thank someone when you feel the need? I’ve never asked for anything or expected anything. But if someone has already spent their time, money, or resources on me, it feels even worse to turn it away.
Look, I get it. I kind of understand why gifts are seen as a traditional way of doing things. Like, back in the day, farmers would bring ham to the judge just to make sure he was fair. They'd bring ham to the doctor to ensure they got treated right. They'd bring stuff to school on the first day so the teacher would actually teach the kid.
Just like back then, you have to realize that the core motive behind people giving gifts isn't really about rewarding someone—it's about fear. It's the anxiety over whether that official is going to actually do the job they're paid to do. That fear of "shaky hands"—the fear that things might go wrong—is the fundamental driver behind any kind of "gift." That’s why people give, even when a doctor doesn't ask. You can tell because the frequency and value of these gifts go up as the person's power increases. Doctors hold life and death in their hands quite often, and a shaky hand, whether intentional or not, can be a final verdict.
And I get why (since you grew up in that environment) you view receiving gifts as something totally normal. You see it as coming from the heart, not from fear.
But every employee needs to have their salary—regardless of what it is, and regardless of whether they're happy with it (and let's face it, nobody is ever truly satisfied with their paycheck, right?)—as their only compensation. Maybe with small exceptions like handmade items or tiny gestures, like a cup of coffee.
Why? Because otherwise, you start questioning if you'll work harder if you see a bigger gesture of gratitude. And if that's the case, it means you aren't treating every patient equally, even though they are all equal—they're all Social Security Administration beneficiaries.
Even if that's not the case, you're still inviting the suspicion.
And it’s fine if someone later says, "Hey, those are great clogs, keep up the good work," but that's no different than Walton buying a computer for a journalist who, in Walton's opinion, is doing a great job.
Great clogs don't make a doctor a good doctor, and great clogs don't make a journalist a good journalist.
If someone really wants to improve medical work and patient care, there are plenty of ways to donate medical equipment that your doctor doesn't even need to know about.
Of course, we're only talking about the extreme examples of "small" gifts here.
When it comes to actual cash, especially if a doctor asks for it, that's a clear-cut issue.
Those percentages aren't my claim; they're just an assumption, which is basically just guesswork, much like your denial of them is also just guesswork.
Ljubičić said (and just to be clear, I'm not a fan) that there isn't more or less corruption among doctors than in any other sector of public service.