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by s1artibartfast 326 days ago
from a system cost perspective, absolutely. For specific beneficiaries, not so much, especially after they have aged out of paying into the system. This is a textbook challenge with the US healthcare economy.
1 comments

Not just from a cost perspective: overuse of imaging, particularly in orthopedic medicine, is apparently a major driver of iatrogenesis in American medicine. It actively does harm.
surely your mean related over treatment or intervention. I am not aware of any adverse health consequences from MRI itself. CT has clear downsides.

That said, there is a pretty big difference between screening and elective medicine.

I don't think the term "elective medicine" means anything useful in this conversation. But, yes: I'm referring to unnecessary surgeries consequent to MRI; a big problem, especially for stuff like knees and spines.
eh, If I have elected to undergo a procedure, I would want the best and most imaging possible.

I dont see data as the problem, but the decision making around it. Preventing the generation of data may be a solution, but I dont care for it as a strategy.

"Elective" medicine is simply medicine that can be scheduled in advance. The opposite of "elective" is "emergency". Plenty of elective procedures are not in any meaningful sense optional.
I feel we are quibbling about terminology instead of the central point. Feel free to substitute discretionary procedures if that is clearer, although nearly all medicine is discretionary (elective or emergency).