To the Editor Dr Asch and colleagues1 reported a randomized clinical trial using economic incentives to promote cardiovascular risk factor reduction. However, one of the tenets of behavioral economics is to design systems that are simple. By selecting low-density lipoprotein cholesterol (LDL-C) reduction as a part of the intervention, the authors created a more difficult system with unrealistic goals.
Lesser LI, McCormack JP. Financial Incentives and Cholesterol Levels. JAMA. 2016;315(15):1657-1658. doi:10.1001/jama.2016.0309