Youre missing the point VYAZMA or more correctly you’ve missed several points.
There are several levels of triage. In most offices a secretary performs the initial triage which is to say she answers the call and has a simple set of instructions as to which types of complaints need to be seen immediately ( within an hour or less), which complaints need to be seen the same day but not…... have usually given both of those issues careful consideration before I recommend a test but if all patients had a financial interest (whether by way of an MSA type system or by copays )in these decisions I am fairly certain you would see less waste.
This bloated description of the lackaday experiences of a typical outpatient care center is really engrossing.
You complain about hypochondriacs and then proceed to explain how you are NOT willing or allowed to turn anyone away. And how secretaries are a major force in diagnosing patients. This was the focal point in my commentary on reform, and how to appease the complaints of doctors.
People are campaigning for free-universal healthcare, like many others around the world have.(don’t lecture me on the definition of free) Save your campy recollections of Health Savings Accounts for others in your professional field. You obviously can’t see the forest for the trees.