Why is this? As nearly as I can tell, the underlying reason is loss of clinical freedom to choose what they want for their patients and freedom to go outside the boundaries of 3rd party restrictions if patients desire to pay for further recommended treatments or tests.
I speak here of restrictive and time-consuming public and private bureaucracies limiting clinical freedoms.
On the Fourth of July, my late brother-in-law, who fought for Patton in World War II, who, when sufficiently pixilated, would shout ,”It’s about freedom!” And in case you didn’t hear, he would repeat, louder, with emphasis, “ It’ s all about freedom, and don't you forget it!”
And indeed it is. That’s why immigrants from around the world, past and present, flock to America – for freedom and opportunity to live, behave, and rise as they please.
I was thinking of this the other day, when I asked a Tibetan immigrant,”Why did you come to America?” She replied, “For freedom. Everybody knows America is the land of freedom.”
Not everyone. It depends on what one means by “freedom.” Bureaucrats, in their zeal to protect people, exercise expertise, and cement power, think they can best achieve their goals through centralized government control. But as Friedrich Hayek (1899-1992) explained in his 1945 classic, The Road to Serfdom, the road to bureaucratic bondage is paved with good intentions.
I conclude in my 2005 book, The Voices of Health Reform,
The German General and the Italian General
Don't you ever forget it. America is an exeptional country - home of the free.