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It is not only money, machines and doctors are also a limited resource.

The other bit is that no one follows your protocol, everyone looks at the scans, finds reasons to worry. Then you have the choice between unnecessary biopsies and psychological stress.

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I agree, and I think rationing is the correct thing to do. I just don't like being gaslit by doctors (or would prefer doctors who know better).

And I agree most doctors won't do this, but again I blame the doctors and their training

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