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Back and shoulder surgery is often worse than useless

127 points · 144 comments · burntcaramel

  1. tptacek · · focus · HN ↗
    This is a huge problem in US health care financing: we have a fee-for-service model, no price transparency, and a consumer base (insulated from a lot of the costs of procedures by indirect payment through employer-provided insurance) conditioned to think procedures are inherently good. We waste billions annually on procedures that shouldn't be delivered at all.

    I'm fond of pointing out the stat (true as of a year ago) that Massachusetts (I think it's MA?) has more MRI machines than the entire country of Canada.

    1. FlyingAvatar · · focus · HN ↗
      I would posit this is more of a function of Canada having too few machines, with a median wait of 10 weeks for an MRI. [1]

      To me it's crazy that people are waiting an average of nearly 3 months to get imaging. This is probably after waiting a couple months for their doctor's appointment to get the MRI scheduled in the first place.

      [1] [<a href="https:&#x2F;&#x2F;getmrifast.ca&#x2F;mri-wait-times" rel="nofollow">https:&#x2F;&#x2F;getmrifast.ca&#x2F;mri-wait-times]

      1. gruez · · focus · HN ↗
        &gt;<a href="https:&#x2F;&#x2F;getmrifast.ca&#x2F;mri-wait-times" rel="nofollow">https:&#x2F;&#x2F;getmrifast.ca&#x2F;mri-wait-times

        It&#x27;s sad that seemingly the top result for this search term is an AI slop lead-gen site, rather than the actual source:

        &gt;Disclaimer: Wait times shown are estimates based on publicly reported data from the Fraser Institute, CIHI, and provincial health authority reports.

        1. gremlinunderway · · focus · HN ↗
          Also citing Fraser Institute, a known extremely right-wing hack &quot;think tank&quot; is like citing a used car salesman on the benefits of buying a car. Their entire raison d&#x27;etre is to privatize any remaining public good in Canada, so they will always hunt for any kind of information or data they can to paint whatever picture they want from their lobby funds.
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