I get it: they're gatekeepers to prevent people from abusing or misusing medicines. But wouldn't it be better to allow people access to medicine based on objective measurements taken over a long period of time rather than making people interview for it?
When I'm sitting in a waiting room, I'm thinking about what I need to say and do to convince the doctor that I'm sick. If I'm polite and smile is he going to believe me when I tell him I'm in pain? If I don't have a fever is he going to believe I had one two hours ago? I know that he gets paid whether he treats me or not and that he knows every treatment is a potential lawsuit if he makes a mistake. He has every incentive to play it safe and find some reason to avoid treating me.
The other day, I read an article about a woman in Houston. Emergency room doctors avoided treating her for a stroke because her boyfriend mentioned that she has occasionally smoked marijuana. Classifying her as a drug user allowed them to just give her some Zoloft, push her out the door, and collect the check. She'll never be the same again. And this happened in one of the best hospitals in one of the best medical centers in the world. The problem is systemic.