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Imagine that you have disabling back pain. Not the transient acute back strain we have all experienced—that deep aching pain and sharp muscle spasm that prevents any activity. That pain typically goes away in a few days, leaving us as good as new and quickly forgetting that we ever had it. No, instead imagine a daily and constant aching pain that starts as soon as you wake up, lasts all day long, and gets even worse with any activity. Imagine that it intensifies after only a few minutes of sitting and commands you to change your position constantly, so that you fidget in your seat and must stand up every 10 or 15 minutes. Like a deep toothache, this pain makes it hard to concentrate on your work, makes it hard to pay attention to what your spouse or children are saying, and becomes a constant restrictive event in your life.

Who Should Decide How New Medical Technology Is Utilized? Completing the Algorithm With Existing Resources