I don't want to focus on fixing somebody's back or their knee or something. Let the states do that,"
President Dotard can get with moronic talk like this because ordinary people don't understand that orthopedic surgery involves mostly elective procedures, meaning people choose to have it done -- but it's not absolutely necessary because it does not involve a medical emergency.
Why Useless' Surgery Is Still Popular
Before a drug can be marketed, it has to go through rigorous testing to show it is safe and effective. Surgery, though, is different. The Food and Drug Administration does not regulate surgical procedures. So what happens when an operation is subjected to and fails the ultimate test -- a clinical trial in which patients are randomly assigned to have it or not?
The expectation is that medical practice will change if an operation turns out not to help.
It looks as if the onus is on patients to ask what evidence, if any, shows that surgery is better than other options.
Take what happened with spinal fusion, an operation that welds together adjacent vertebrae to relieve back pain from worn-out discs. Unlike most operations, it actually was tested in four clinical trials.
The conclusion: Surgery was no better than alternative nonsurgical treatments, like supervised exercise and therapy to help patients deal with their fear of back pain.
In both groups, the pain usually diminished or went away.
The studies were completed by the early 2000s and should have been enough to greatly limit or stop the surgery, says Dr. Richard Deyo, professor of evidence-based medicine at the Oregon Health and Sciences University. But that did not happen, according to a recent report. Instead, spinal fusion rates increased -- the clinical trials had little effect.
So everyone must first understand that doctors/surgeons are doing way too many surgeries that don't help patients (like YOU, or YOUR children, or YOUR parents, etc.) -- again, 30% of everything done medically in America is waste with no benefit to patients.
How the U.S. Health-Care System Wastes $750 Billion Annually
Once people get their heads wrapped around this fact, then they can start unpacking dumbass statements from The Orange Moron.
-- Controlling healthcare costs involve reeling in the amount of waste (like unnecessary surgey) ... resources.nationalacademies.org
-- In the macro-sense, controlling healthcare costs is mostly moot because of the overall aging of the population (though savings can be had by reducing waste -- this is the "hard" part that Orange Fatso alludes to) ... www.youtube.com [16:05 - 22:45]
-- The root cause of all this are the doctors -- only 55% of clinical decisions made are the correct decisions based on scientific medical evidence ... www.rand.org
Study up people -- Dr. Kizer has been explaining that healthcare costs will go higher than 20% of GNP for years ... www.youtube.com [23:55 - 26:40]