This topic has been simmering for the last week or so and is still rather fresh, but I think it has been completely taken in the wrong direction by our colleagues at the AMA/American College of Surgeons and American Academy of Orthopaedic Surgeons– all who have rather inexplicably harshly countered it (rather than taking the time to educate). In fact, amputations do cost at least $30-50k per episode– it is just that the doctor is only reimbursed about $800. There are good data to support that teams put together focusing on prevention save legs, prolong life, and save money– but prevention doesn’t yet seem to pay. Perhaps this is something that might be explored by the media in a more thoughtful manner? The concept of procedure-based vs. prevention based systems is really at the heart of this healthcare debate. It is remarkable and, we believe, unfortunate that opportunities like this last one may have (very much like the “death panels” issue) blown us collectively off course.