Cataract Followup

I blogged the other day complimenting Kaiser on its cataract surgery setup.  Very good, but...

My mother-in-law had cataract surgeries about 10 years ago, in the office of her ophthalmologist, with the staff just a nurse, the receptionist, and the doctor.  Her results were good.  I'd assume Kaiser does a better job by devoting more people and better routines (i.e., checklists, etc., everything Atul Gawande would approve of). But "better" is at the margins, an incremental improvement.  Now when it's my eyes, I want every little increment I can get, but as a society we might be better off if one of the Kaiser staff was employed as a home-visiting nurse.  Might be, but there's no way in our society to get there from here.