Right now they often make choices based on cost more than efficacy in order to maximize the profit of DME, e.g. cheap, less stable, less durable walking boots have almost completely replaced high quality boots resulting in more time in casts, longer recovery periods, more PT and later returns to work.

Remove the profit motive and docs and hospitals would never choose these cheap boots. They would choose very stable very comfortable easy to apply and remove boots that could be used instead of casts.

Manufacturers would then design for medical superiority instead of low cost resulting in better and better products not cheaper and cheaper.

Doctors in Europe are not allowed to profit from products they dispense, and doctors in the US are not allowed to profit from pharmaceuticals. Why are the allowed to profit from DME here?

How can we change this deleterious law allowing docs to profit from DME?