The medical profession really scares me. They have no respect or concern for patients and are largely going through the motions of providing care with no concern for successful outcomes. I find this to be consistently true in every encounter.

I fired my last PCP because they lied about treating me for depression complete with fictional prescriptions. I found out when I couldn't get disability insurance (at a sane price) because there was history of depression in my records I didn't know about.

I asked the PCP to correct it and they said they couldn't they might get sued for insurance fraud. What a joke!

So I avoided doctors for three years. Eventually I got to a new PCP and guess what I find when I check their notes? A herniated disk I don't have (I know, I have the MRI to prove it) and they claimed I was being treated for ADD even though I haven't been treated for that since I left my last PCP and we didn't talk about it beyond my mentioning I used to "have" it.

Believe it or not ADD is a thing insurance companies think can cease to be an ongoing issue. You just have to stop taking the medication. And then poof you go from being mentally ill to having a history of mental illness (yes ADD is a mental illness). It's critically important you not let medical professionals claim you are being treated for fictional things and how long it has been since you were treated matters a lot. If you let them claim they are treating you for a long ago resolved condition they revive it and suddenly you are a bigger liability.

If you go to purchase insurance on the open market or long term disability you will be dinged for the rest of your life for anything they claim as part of their insurance fraud. If it's an ongoing or recent issue you are dinged even worse.

PCPs in particular are financially incentivized to invent issues they are treating you for in their records because they can bill more for office visits if they can increase the number, complexity, and seriousness of the conditions they treat you for. And the insurance companies just take them at their word!

And the craziest part is that as part of HIPAA you can ask the doctor to correct the record, but they are under no obligation to do so. They make the final determination of medical fact, or fiction as it were. You can add a letter to your file pointing out how insane and contradictory their records are, but I can tell you from experience insurance companies aren't buying it and have no appetite for risk.