> "If you want to change communications, you probably have to work on the surgeons" more than the patients, Dr. Schwarze concluded. I find it harder and harder

> "If you want to change communications, you probably have to work on the surgeons" more than the patients, Dr. Schwarze concluded. I find it harder and harder to believe that Insurance is the Bad Guy in US healthcare, as insurance companies make fairly normal level insurance industry margins (like, less than car insurance). The magnitude of total spend is the real problem, and that's a provider-side problem, not a payer side problem, but its hard to talk about doctors and pharmacy benefit managers being the potentially evil ones. People can't stomach the thought that its not a faceless insurance company, and that it might be doctors, in aggregate, over-prescribing and over-practicing well beyond actual need. (And proponents of EU style healthcare costs never mention EU style doctor salaries, and the difference w.r.t. those and the USA). It sure would be terrible if tons and tons of these interventions done on frail people had no real medical use, and hundreds of them were found to be ineffective (not budging mortality, etc), and surgeons just wanted to get paid. Totally terrible if journals had meta-analyses of that. https://elifesciences.org/for-the-press/94d42de3/almost-400-medical-practices-found-ineffective-in-analysis-of-3-000-studies https://elifesciences.org/for-the-press/94d42de3/almost-400-...