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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. kibwen · · focus · HN ↗
      To be fair to your latter point, Massachusetts is arguably the biomedical research capital of the world, those MRI machines are being put to research purposes.
      1. readthenotes1 · · focus · HN ↗
        An elderly relative of mine went to get an MRI to prove the occult fracture of the sacrum that was hobbling him.

        It took about 12 hours, much of it waiting for his blood pressure to subside low enough to get admitted (a pre-requisite for the MRI).

        This is in a city with of about 750k people and nowhere near Massachusetts.

        1. nradov · · focus · HN ↗
          Did that study involve contrast?
          1. readthenotes1 · · focus · HN ↗
            I believe it did. There was a question of allergies anyway.
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