Some insurers will also stipulate that you join a care-management program, which could cost $1,500 or more out of pocket, Dr. Flum said.

Flum医生表示，有些保险公司也会规定你参加一个需要花费1500美元或者更多的健康管理项目。

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"When it comes to adjustable banding procedures, the surgery is not the intervention," Dr. Flum said. "it's the lifestyle changes and the adjustments that come after it."

Flum医生说：“在进行可调节束带过程是，手术不是真正起作用的，是生活方式的改变和调整而带来的影响。”

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Flum wrote an editorial in The New England Journal of Medicine criticizing the study.

FORBES: Dangerous Ignorance

David Flum, a surgeon at the University of Washington who focuses on orthopedics, says there is a "tremendous double standard" in what the FDA requires of drugs versus devices.

FORBES: Dangerous Ignorance

Flum has a response.

FORBES: Dangerous Ignorance