Where does the idea come from that whatever the insurance company says is law, and that the duty of the doctor is to enforce it?
My patients come to me for advice. Sometimes they take it, sometimes they don't.
Sometimes they are right and I am wrong. It's an ongoing conversation.
This is my take as well. Anyone that has been doing this a while knows that medical "wisdom" is constantly changing and that a good portion of current recommendations is going to change. This is especially true in preventive medicine which is where Medicare and insurers seem to be focusing. I am giving my patients my best advice at the time of the appointment but it's up to them whether to take it.