Like a lot of things it depends on incentives. Individuals should be incentivised to obtain the best outcomes not to maintain the status quo.

One way to alleviate this type of thing is to pay doctors a flat rate salary, adjusted according to patient outcome (ie. significant improvement in outcomes through a novel innovation - you get a percentage raise). Paying per procedure is part of the intrinsic problem.

The system also needs to change, like many systems. Innovation and capability needs to be valued over seniority. Hard to do in the current healthcare model though (and no doubt there will always be those who figure out a way to game any system).