Originally posted as a Twitter thread on July 09, 2017

Medicine feels like the taxi industry pre Lyft/Uber — no price transparency, no real reviews, “once and done” for all but primary care

And it’s much worse for procedures…want controlled longitudinal data for, say, allograft vs autograft in ACL repair? Good luck

For me, it’s personal – need major ankle surgery, data do not exist, many surgeons are offended when asked, all “reviews” adversely selected

And stakes are till-death-do-us-part permanent. The consensus, when scientific method applied, is often dead wrong:
http://www.nejm.org/doi/full/10.1056/NEJMoa1305189

Past data = *qualitative* observations and musings. Post-op data = adversely selected, sparse, and also qualitative