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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. OsrsNeedsf2P · · focus · HN ↗
        One of the reasons I left Canada was it took me 6 months to get an MRI after a severe head injury in 2017. I have since gladly paid nearly 500k in taxes to other countries. Fuck Canada.
        1. idontwantthis · · focus · HN ↗
          If I were waiting that long I’d fly to SE Asia. I got one in Cambodia same week for $1200.
          1. kasey_junk · · focus · HN ↗
            You can easily find MRI in the US for less than half of that. Though a trip to SE Asia sounds nice.
          2. l1tany11 · · focus · HN ↗
            Multiple times in Southern California I’ve gotten an mri for like $350-400 next day, in a 3T machine with Simonmed.
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