Mark,
I agree with a lot of what you mention. Low risks are generally disregarded when we are looking for an answer to our pain.
ADR sounds very appealing and fusions sound like a "death" sentence. So people can convince themselves ADR is the only solution. That could actually cause the number of less than desirable outcomes to rise.
As for insurance companies I also agree that they are not looking out for our best interest. They only look out for their shareholders. Which I don't completely understand. When I researched cost of a fusion vs. ADR in the States, fusion was more expensive. All I can think of is that maybe there is a belief that people will bypass conservative care if ADR is available? Thus increase the number of surgeries. Can't really think of another reason.
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