In all the debate through the years about the cause in the rise in c-section rates, the role money plays gets little attention. The public is loath to think that the cesarean section being performed on a loved one results from the physician needing to make a boat payment rather than patient need. The doctors, of course, blame the lawyers claiming that lawsuits make the doctors do more cesarean sections to protect themselves from litigation. In an interesting new study available from the Social Science Research Network, MIT and University of British Columbia researchers analyzed records of births in California and Texas and have found that when the patient is a physician she is 10% less likely to receive a c-section delivery. The authors conclude that financial incentives are most likely responsible for this behavior.
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