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Surely it isn't pharmaceuticals companies doing blood tests in the US? In the UK people's bloods get done in hospital labs (phlebotomy doesn't always occur in hospital though)

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The tests are done using proprietary hard- and software, though it is generally made by biotech and not pharmaceutical companies.

Some of that lab work is contracted out of the NHS, but your NHS doctor is largely steered by clinical guidelines rather than profit or ass-covering.

Eg https://www.synnovis.co.uk/about-synnovis

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