I'm just glad my dentist doesn't discharge me for not doing x-rays as much as he recommends.
Recommendations are just that. We are not infallible. We pushed mammograms yearly from 40 and now realize it is not that useful. We pushed yearly pap smears til forever... on and on.
As frustrating as it is with more "quality" measures looming, I support my patients rights to have choice within reason. (e.g. I'm all for California's mandatory vaccination in for public schools due to frickin' measles again). And I'm all for raising cigarette and soda tax to pay for their societal health costs.