July 1, 2010
Surgery, nursing, and health care reform
David Goodman, MD, MS The rate of hip replacements in Boulder, Colorado, is more than 5 times higher than in Bryan, Texas, which has the lowest rate. Rates for knee replacements also vary widely, with Manhattan's rate only about one-fourth that of Lincoln, Nebraska. Many other types of surgery have similar variations. Why is this so? What do these variations say about how the country provides health care services? Do…
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