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> Maybe we should actually be collecting usage and outcomes on all medical things and actually have a process for reviewing the data; even for grandfathered treatments.

I'm pretty sure we do this?

I mean I suppose we don't have laws which mandate this but medical researchers are constantly measuring and publishing how effective existing legal treatments are. I am sure researchers would love to find which treatments do not actually work and since publishing such work would affect treatment guidelines and have a huge impact.



I'm not aware of any formal process that automatically does this (at least in the US); lack of open free to implement standards for medical records and poor separation of patient identifying information from medical efficacy information combine poorly with the well meaning parts of HIPPA and the lack of a central authority to submit de-identified data to.

Much of that would be addressed by having a single-payer healthcare system, which could mandate record standards and submission of specific portions of the data in ways that do not unduly risk identifying patients.




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