We (already know we) aren't saving lives.
We accept that there is a bit of perioproc MI, but now see a gradual annual saving of spontaneous MIs. After (about 4?) years there is a net reduction of MIs.
These are the staff who carried out the excellent blinding of the ORBITA trial, whom @rallamee has vigorously coached on the necessity of blinding for symptom evaluation, so they would just laugh at me.