> Schneider writes, “It is more likely for Toyota to know about faulty exhaust pipes in a Prius than DePuy [medical device company] to understand how a new hip

> Schneider writes, “It is more likely for Toyota to know about faulty exhaust pipes in a Prius than DePuy [medical device company] to understand how a new hip implant is performing in the United States.” A registry of implants would enable the F.D.A., doctors, and patients to access data on their risks and benefits over time, but the U.S. has no such registry, unlike Canada, Australia, New Zealand, Japan, and several countries in Europe. Schneider emphasizes how these systems provide “valuable information about the longevity of an implant when used in real-world conditions by all surgeons.” A registry prevents surgeons from “cherry-picking” to exclude cases that would sully papers about implants they may have designed, and protects against the gaming of data. > Repeated efforts to implement a registry system in the United States have failed. The implant industry has a powerful lobby in Washington, and the courts and recent legislation have made regulatory oversight more feeble. Wonder about the history of this. Which lobby groups are making it hard to build a registry?