So I'm taking care of a patient of mine. A patient with a primary orthopaedic injury. I run into the surgeon post op and ask him how things went. He says it was a bad fracture. He flips up a hard film (you never see these anymore) of the post surgical site. Filled with plates and screws. My eyes saw seven or eight screws.
I asked, "Titanium?". "No", he said. "Steel". "How much do each of those screws cost?", I wondered. "About a hundred dollars a screw", he said. And I find myself thinking, while everyone is talking about paying doctors too much or too little, the whole country is getting screwed with $100 screws. There is nothing about a steel screw that makes it worth $100. I find that utterly repulsive.