because "If everyone can get it, the demand will be too much."
In 2011, the FDA approved a medical device to repair the heart using a
catheter in the leg artery called the Sapien 3. The cost of the new
valve is the same as cracking the chest, but has lower risks and is an
easier procedure to perform. Medicare fears that more elderly patients
will want their hearts repaired with this new technology, so strict
coverage rules have been set in place.
For a patient to qualify for the new procedure, Medicare requires two
cardiac surgeons to certify the patient cannot handle open-heart
repair. A cardiothoracic surgeon and interventional cardiologist must
also be present in the operating room during the procedure. This is very
costly and limits procedures to large academic medical centers. The FDA
has labeled the valves to require these restrictions.
Because better you have a more risky, more invasive procedure with more after-effects than get this one. Because idiots are in charge.