just published the most important editorial ever. These observations cannot continued to be ignored!
"The reimbursements seen in many modern health systems are largely based on history and tradition, and this dysfunctional funding might actually play an important role in the negative spiral surrounding MSK management."
"Many systems provide only a marginal reimbursement for exercise therapy as a conservative approach in MSK care. Conversely, when patients are referred for surgery, both the surgical procedure and the postoperative course are typically fully funded. When patients are financially incentivised to proceed with invasive interventions, one could easily suggest that the system is ‘priming’ patients toward these treatments."
"There is compelling evidence that patients are often disturbingly misinformed regarding benefits and harms in medicine. This is also recognised in MSK conditions. In a modern healthcare system largely based on cultural trust, it is plausible that reimbursements can create illusions of safety and effectiveness."