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> Your average joe doesn’t get to just decide what treatment they get.

That is flat wrong. Ever heard of getting a second opinion?

A second opinion from whom? Another doctor.

Yeah, and then the "average joe" makes the decision which opinion and treatment to go with, if either. Not the doctor.

So the doctor is the primary gating factor. Even if a patient wants to get a treatment, a doctor needs to ok it first.

Doctor is still in the loop. Let doctors doctor.

Also depends how rich you are.