Gynecologists refer infertile patients for IVF treatment
to specialist IVF clinics ,because they can not offer this treatment
One would logically expect them to send their patients to
the IVF clinic with the best pregnancy rate because they want all their
patients to get pregnant.
This is why you would expect that when gynecologists meet
IVF specialists, the question they would ask is, "What's your success rate?"
or "How do you tackle with patients with a particular complex
But interestingly, the commonest question gynecologists
ask IVF doctors these days is, "What is your commission rate?" which
means, "How much money will you give me for referring a patient to
The tragedy is that because kickbacks have corrupted the
medical profession, IVF patients are no longer being sent to the best IVF
clinics by their gynecologists, but they are being referred to the clinics
which provide the highest kickback to referring doctors, even if their success
rate is poor.
The new corporate chains of IVF clinics have made a bad
situation worse, and this is now becoming a race to the bottom, so that IVF
clinics are no longer competing on the basis of their success rates, but on the
commission rate they offer !