To the Editor: In their letter, Spencer, Howe and Manolios call for investment in fracture liaison services.1 Our own business plan showed that for an investment of $55 000 to hire a nurse, the dividend is $1.5 million in second surgeries prevented. This plan has failed to impress successive chief executive officers or their finance managers, and for good reason. The obstacle is a financial paradox.
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- 1. Spencer D, Howe G, Manolios N. No more excuses: fracture liaison services work and are cost-effective [letter]. Med J Aust 2012; 196: 384. <MJA full text>
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