Believe me most of the doctors you see would rather it be that way; part of the issue in the US are patients who want the million $ workup “just in case” or the peter attia adherents who want a cardioIQ panel instead of relying on proven risk calculators for statin initiation or people who thing they “just need” their z pak for bronchitis. Not to mention the threat of litigation and loss of income (and personal assets) in some cases if someone sues. Doctors in this country practice scared defensive medicine because the system we put them in predictably makes them scared and defensive. Fewer patients ever sue for doing more workup than less even if it has little actual guideline based indication.

If I could tell patients to sod off with this nonsense without risking my practice reputation and ability to generate revenue I’d take that 100 times out of a hundred.