Thoughtful essay from a blogger called ShrinkWrapped. He is an East Coast Psychiatrist… Despite that I often find his writing to be interesting and persuasive. Follow the link to the full essay. The connection to dentistry, technology and more directly health care reform is not in your face obvious, yet it is undoubtedly there.
Bureaucracies by their nature are risk averse. After all, no bureaucrat has ever lost his job or faced public humiliation because he impeded the development of a risky treatment. On the other hand, when patients are harmed by new products, the unfortunate technocrat who approved it faces Congressional scrutiny and public opprobrium