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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. nickff · · focus · HN ↗
      >"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."

      Long wait times (6-12 months+) for MRIs (due to a lack of both machines and technicians) are a frequent complaint by Canadians.

      1. nradov · · focus · HN ↗
        Yep. Wealthy Canadians often come to the USA as medical tourists and pay cash to skip the queue at home for elective procedures like MRIs or joint replacements.
        1. Teever · · focus · HN ↗
          You can pay for MRIs in Canada. My friend needed one and he had it within the week for $800.

          I think private MRIs have been around, at least in my province anyways, for close to 30 years.

          1. excannuk · · focus · HN ↗

            [dead]

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