I finally got to the article on spine surgery in USA Today. Exactly what you’d expect. Massive practice variation all over the place—although to be fair we’re not exactly sure that too much is bad here, as no one has a clue how to make back pain go away. (Unlike lots of other types of interventions, as Eric Novack will tell us). But there’s a killer quote from Mark Chassin at Mt Sinai.
“The U.S. health system does a great job in developing new and innovative treatments, but it does not do a good job in thoroughly and rapidly evaluating those innovations to find out when they work and when they don’t,” he says