> It assumes that procedures done is a good > proxy for overall health My whole point is that it's not a good proxy for overall health. However it _is_ a good

> It assumes that procedures done is a good > proxy for overall health My whole point is that it's not a good proxy for overall health. However it _is_ a good proxy for amount of money spent on the system. Which is how you can end up spending more but not getting better overall health. Do read what I said again. You're arguing against a strawman. Which