A New York Times story has called out the growing use of fake schizophrenia diagnoses in nursing homes. These fake diagnoses conceal the drugging of residents from the public via a shoddy “quality measure” used in the CMS 5-star ratings system. Incredibly, doctors are not making antipsychotic prescriptions to suit a diagnosis, they are making diagnoses to suit a prescription.
The perverse incentives that drive this fantasy medicine are described in the story and have been a concern for several years. Nonetheless, policymakers continue to do nothing and instead enable overdrugging by continuing to find thousands and thousands of instances of drug misuse to be “no harm.”