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Strictly followed, the policy of not paying those whose patients are sick will disincentivize doctors from taking the hard cases. Absolutely NO one will take on a patient with borderline personality disorder, or oppositional defiance, or known terminal disease, etc. This policy will vastly expand the demand for euthanasia and incidence of suicide. So I'm not a fan. That being said, doctors should be held to account for failing to suggest and promote to patients the lifestyle choices that can improve their health.

An example of a major roadblock to this last goal is broad cultural support of the mega billion dollar industry fostering and catering to sexually transmitted diseases that affect people with and without a choice in the matter.

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