Pay for performance - stroke doctors

I don't  care how well you perform the status quo. The status quo is a complete fucking failure:
Look at the 10% almost full recovery rate as noted in the NSA report of 2009.
Or the complete success rate of tPA of only 12%.
To get better at stroke recovery  neuroplasticity will need to be made repeatable on demand. I  don't  care that Dr. Michael.Tymianski@uhn.ca has stated that 1000+ neuroprotective trials have failed.
The next thing is to make neurogenesis repeatable on demand.


Yes these are BHAGs(Big Hairy Audacious Goals) . but so what. That is what a great stroke association would be solving for.
And what great neurologists would be demanding.
If there are any great stroke doctors out there, they are hiding and not publicly discussing what needs to be done to solve all the problems in stroke.
Right now our stroke doctors should not be paid a cent for such appalling failures.  That might focus the stroke hospitals to actually start solving stroke problems.
Once again not following Dale Carnegie; 'How to Win Friends and Influence People'.