It is only within our “for-profit” capitalistic American health care system that the surgical device manufacturing industry is allowed to influence people and institutions in ways structured to increase their bottom line, regardless of patient complications or long-term outcomes. American industry has successfully manufactured ingenious methods to circumvent meaningful accountability for their implanted devices.

Through overt manipulation of our national surgeon educational organizations, the examining board institutions responsible for surgeon credentialling, the federal drug administration responsible for patient safety, hospitals, and the insurance industry, they have created an environment that treats patients like necessary objects into which their devices need to be implanted to ultimately satisfy the lofty expectations of their investors and stockholders. This business model only fosters a situation where physical, emotional, and legal risks become paramount for both patients and their surgeons, and do result in life-changing consequences.

This book thoroughly investigates and seriously scrutinizes one aspect of this enormous surgical device and instrumentation industry by focusing on the manufacturing of devices for fusing the sacroiliac joint. The listener will find that what is currently transpiring in this multi-million-dollar industry, that has been in existence for only about 10 years, can be readily generalized to the muti-billion-dollar industry of all surgical device making, that has existed for decades.

It is important for every American to understand how it took industry almost half a century to become the surgical device making powerhouse of today, how enormous amounts of money are made as a result, and how these actions are generating a new paradigm in which patients are simply pawns being outsourced for and manipulated to achieve profits.

This audio contains some bold suggestions as to what the first steps for change might look like, and that these changes will not happen from the top down. It will take a formidable grassroots effort to shift the industrial momentum to exact the meaningful change necessary to put the patient back at the top of America’s healthcare pyramid of importance.