Editorial
Coronary angioplasty is like going to the dentist
| The first 150 words of the full text of this article appear below. |
The
paper of Koch and colleagues in this issue takes advantage of a
situation that is still commonplace in Holland but becomes quite rare
in the rest of the world.1 Every year, thousands of Dutch
patients are referred to invasive cardiac centres licensed to dilate by
invasive cardiac centres barred from dilating by government ruling.
Combining the therapeutic with the diagnostic act makes sense, is cost
efficient, and patient friendly. It remains a taboo for the majority of
Dutch invasive cardiologists working in so called diagnostic centres.
While it is a taboo by legislation for them, it is a taboo by
solidarity for their colleagues working in the few so called
therapeutic centres. If they were combining the diagnostic angiogram
with the coronary angioplasty in all their patients, their market
advantage over their purely diagnostic colleagues would be so
conspicuous that the usual competition between cardiac care providers
would capsize
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