Whither orthopaedics today: An introspection

He spoke about transformation of what was once a vocation of healing into what is essentially commerce, another example of what Ivan describes as “disabling professions.”2 In that, he spoke of the growing trend among physicians to order high-technology investigations and the latest treatment modalities. He spoke of the 10% urban elite, affluent class who wield power and are the decision makers. They are the ones who want the best and the latest in medical technology, and in the process, over look and ignore the 90% of rural poor, who can ill afford these modern marvels of medical technology, be it for diagnosis or treatment. Not that he was an orthodox puritan, for in retrospect not all that extra testing was unjustified.