4 ms·
Lasik eye surgery is a terrible example for you to pick for this. Lasik is notorious for being a market where laser clinics bought the machines when Lasik was a
by txcwpalpha 9y ago
Lasik eye surgery is a terrible example for you to pick for this. Lasik is notorious for being a market where laser clinics bought the machines when Lasik was a fad and were hoping demand would stay high, and are now having to resort to unscrupulous sales tactics to recoup their losses. Laser clinics give sales commission to their eye counselors as an incentive to get you to purchase Lasik even when you might not need it or it may not be best for you [1]. They have incentives to use deceptive marketing techniques to make you think that you need it and that it is affordable, even though the price you hear on the radio is almost never the actual price you will pay (they will tell you that the advertised price is only for some eyes, and that yours are more complicated and require more money). They will try to convince you that there are no side effects, despite an FDA study showing that 46% of people reported visual issues caused by Lasik, with 30% of all recipients stating that Lasik caused them to have chronic dry eye [2]. This is so commonplace that the FDA and FTC had to get involved to guide consumers about how to avoid these shady clinics and to tell these Lasik marketers to knock it off [3], [4].
I don't know about you, but I certainly don't think the 'marketplace' for procedures such as childbirths, biopsies, transplants, bone replacements, etc should look anything like the marketplace for Lasik does.
1: https://www.washingtonpost.com/archive/politics/2001/09/04/lasik-surgery-sales-tactics-raise-eyebrows/b7b19fed-7b26-4ec1-b0c3-305996baca55/?utm_term=.7f96ba8d1814 https://www.washingtonpost.com/archive/politics/2001/09/04/l...
2: https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/SurgeryandLifeSupport/LASIK/ucm190291.htm https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedu...
3: https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/SurgeryandLifeSupport/LASIK/ucm061354.htm https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedu...
4: https://www.ftc.gov/tips-advice/business-center/guidance/marketing-refractive-eye-care-surgery-guidance-eye-care https://www.ftc.gov/tips-advice/business-center/guidance/mar...
- refurb 9y agoHow does that differ under a single payer system where a doctor might do surgery that isn't needed. The problem of bad actors exists whether you have a market or not.
- txcwpalpha 9y agoMy comment wasn't meant to say anything about single payer systems. You used the Lasik surgery market as an example of a "highly functional medical market" and acted as if it is something to aspire to, when it clearly isn't. That's all I'm saying. But if we want to go down that rabbit hole, a single payer system like the NHS isn't profit-driven like laser eye clinics are, so there's one way it differs. Doctors aren't incentivized to "sell" unnecessary surgeries.
- refurb 9y agoThey might not incentivized with the NHS (doctor's are salaried), but they sure as hell are in Canada with it's fee-for-service model. More procedures, more $$$.