Isn't it a 'natural' issue everywhere ? systems are against their own death. Rare are systems (businesses, artisans) that will keep focusing on evolving toward better solutions rather than building a nest.

So far is there a solution which is not to let nature/market decide what is available ?

Doctors are in a weird position. They're rightly reluctant to change (like aerospace) because they can't risk death. They're a black box, no patient can contradict, they're saviors. Their word is often final. I'd love to trust them fully, but I've seen too many errors (innocent or greedy) to not think about how we could avoid the problem (similar to self-driven cars, manufacturers and injuries).

ps: non invasive surgery is trendy though now, this is becoming a public idea, in these economically troubled days, cheaper and safer medical options will be loved.