[Skip to Navigation]
Editor's Note
June 17, 2019

Interventional Cardiology Payments and Device Choices—The Ties That (May) Blind

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco School of Medicine, San Francisco
  • 2Editor, JAMA Internal Medicine
JAMA Intern Med. 2019;179(9):1284-1285. doi:10.1001/jamainternmed.2018.8737

The United States spends many billions of dollars on medical devices annually; cardiac devices are a significant component of these expenditures. Device pricing is quite hidden because patients are rarely billed separately for devices; rather, devices are part of a package. Many hospitals have committees that determine which type and brand of devices to use and may negotiate pricing as well. Again, these prices and negotiations are secret. Commonly, physicians are key participants in those decisions.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words