Forbes December 4, 2024
Richard Menger MD MPA

As many as 14% of spine surgeries over three years were deemed unnecessary, costing taxpayers $2 billion, according to a recent report published by the Lown Institute, a think tank promoting ideas for a just and caring system of health. The report even names specific hospitals. This raises critical questions: what drives the prevalence of these potentially unwarranted procedures, and why does RFK Jr., Secretary of Health and Human Services nominee, propose a radical overhaul of the system?

Central Planning and the Incentivization of Unnecessary Spine Surgery

At the core of modern healthcare’s economic architecture is the Current Procedural Terminology or CPT system, developed and controlled by the American Medical Association. These codes classify and quantify the work performed by...

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