puma sneakers

J or had better support air max 90  and traction. Most of the added value wasn't there. It was in the interplay of marketing and fashion. The satisfaction customers derive from marketing and fashion is absolutely real; in the case of shoes, it's practically the whole point. But in the case of medicine, it usually shouldn't have any place in decisionmaking. We shouldn't be aiming to make Americans happy by marketing medically useless knee surgery to them and then letting them walk down the street feeling all fine and dandy with snazzy new knees that aren't actually any better than the old ones. Not in the publically insured sector, anyway. Medically unnecessary cosmetic surgery is Lebron james shoes  fine, but not on the taxpayer's dime.
The other key thing to pay attention to is who this marketing campaign was targeted at: key decisionmakers at providers and insurance companies. Those are the people who decide whether medical procedures get ordered. It's not patients. Patients aren't going to experience a loss of freedom or satisfaction because an expert reviewer at the  ，Ed hardy swimsuits  Independant Payment Advisory Board makes the call as to whether a procedure is medically beneficial, rather than the corresponding bureaucrat at their insurance provider or at the for-profit clinic they're attending. Health care is different from buying shoes. Which is why it wouldn't be at all surprising if a board of 15 experts could play a major role in reducing expenses and improving care outcomes in the American medical industry.  puma sneakers That's what corresponding boards of experts in France, Germany, Britain, Canada, the Netherlands and so on do, which is why their health-care systems cost half what ours does, cover everyone in their countries, and generally provide better care.