I am being a pi55ant. If we had a real medical system instead of a business model, driven by profit and insurance, then this would be a non-issue. Any other developed country you would just come in, do your thing, leave and that would be it. Just back from yet another conference where they say "this is best medical practice. Look at all the evidence and how it improves outcomes..... but it probably won't be covered so here is what you need to do to get the best result you can." So. Freaking. Disgusting. Didn't used to be that way. It makes me feel cranky and cynical.