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This is a very sad component of the medical system indeed. Worse yet it's been shown time and time again in studies that he cost of a procedure in a fee for services health care environment does lead to more doctors recommending riskier, more experimental and more expensive procedures.

I see every day how even insurance companies are more willing to pay thousands to amputate a leg than to pay for a nutritionist to help someone overcome/manage pre diabetes. Their argument - the amputation solves the problem but adherence to the nutrition regimen might not work because it depends on the will of the patient. No return on investment for the nutritionist.

The twists in logic are interesting, to be sure.

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