Let's not give US all the flak. Here in Switzerland pretty much everywhere I look people have to live with f'ed up orthopedic jobs: my son-in-law can't play football anymore because they botched his knee job, a family friend learns to walk again after a botched hip job, a customer has an unusable hand because of a severed nerve in an elbow op... and guess what, all those doctors and surgeons are fine and dandy. Why? On one side, the hospitals belong to local authorities and good luck suing them, and on the other hand no doctor, but really no one, ever, would give you an expertise showing malpraxis (yes everybody asks but nobody gets). The system is tightly knit and protects itself. Lesson: DON'T do surgery in Switzerland. Just don't.