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>"I'm fond of pointing out the stat (true as of a year ago) that Massachusetts (I think it's MA?) has more MRI machines than the entire country of Canada."

Long wait times (6-12 months+) for MRIs (due to a lack of both machines and technicians) are a frequent complaint by Canadians.

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Yep. Wealthy Canadians often come to the USA as medical tourists and pay cash to skip the queue at home for elective procedures like MRIs or joint replacements.
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No you dont understand this is a huge problem in american healthcare cus america bad
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I would posit this is more of a function of Canada having too few machines, with a median wait of 10 weeks for an MRI. [1]

To me it's crazy that people are waiting an average of nearly 3 months to get imaging. This is probably after waiting a couple months for their doctor's appointment to get the MRI scheduled in the first place.

[1] [https://getmrifast.ca/mri-wait-times]

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At least most medications and interventions have to go through RCTs and tend to be quite standardized.

Don't even get me started with mental health therapy...

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To be fair to your latter point, Massachusetts is arguably the biomedical research capital of the world, those MRI machines are being put to research purposes.
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I’m reminded of a quote from my biomed days: “If there’s ever a zombie apocalypse, you can bet it started in Cambridge.”

I just thought it an amusing anecdote until COVID, and then realized it’s less that said virus would be developed here and more that we have the business idiots to let it loose.

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Careful which Cambridge you are on about. I take you are referring to Cambridge MA, US and not Cambridge, Cambridgeshire off of England, UK.

I'll note that COVID-19 "broke out" in Wuhan a city which has a virology laboratory nearby - the Wuhan Institute of Virology, who perform research on viruses.

I'm sure that is completely incidental to the pandemic of 2020-21. Clearly, some rather nasty live food markets are to blame.

It wasn't your numpties wot did it then, it was another lot that time!

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That's an odd point to make when in the actual world we live in, Cambridge was where the first COVID vaccine was developed.
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It's not strictly a US health care problem either - I've been dumbfounded by foreign coworkers pressing for totally unnecessary medical interventions as if there's no risk associated with doing such things. It's most apparent from the socialized states where the healthcare is ~free.

My impression is this is a modern civilization stupidity in general.

apropos Dead Kennedys track: https://www.youtube.com/watch?v=lVULKYbAeEo

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People love to complain about health insurance companies denying claims and prior authorization requests. While there are frequent errors and abuses on the payer side, the reality is that about a fifth of all treatments are "low value care" which aren't justified by evidence-based clinical practice guidelines and may even harm patients. If we want to reduce healthcare costs and improve outcomes then we've got to get that under control.

https://www.bloomsbury.com/us/price-we-pay-9781635574128/

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