The “cosmetic surgery” industry needs shock therapy. The only way to get the large and urgent change needed to protect the public from serious injuries is for health ministers and the national regulator to close down the entire industry for a period of three to six months.
Another indicator has been the absence of attempts to deal comprehensively, systematically, and forcefully with misconduct and poor practices. There is a culture of weak law enforcement by the regulator. A division of powers, especially federal and state ones, leads to unco-ordinated action, different rules and blame shifting. There is also a division of regulatory labour within each state.Litigation by practitioners with very deep pockets is a standard response to regulatory action. At times, it is not easy to get medical experts to act as witnesses, although there are some notable exceptions..
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