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I don't know which country this is but this sure seems like a country where doctors have an incentive to maximize the amount/cost of treatment.

I've seen the two extremes in different countries; either they have a tendency to maximize the complexity of the medical situation, or they minimize it "Don't worry, it's just stress" - I've been to different doctors in different countries and I see a pattern based on the country and the incentive structure. In some countries, they will send you off to do a scan for the slightest malaise.

I don't think it's about quality/coverage of public healthcare (at least not on its own; I have not seen a clear pattern across this axis). I think the difference is to do with the referral system. In countries where you can't go directly to a specialist and need a referral from a General Practitioner/Physician first (I.e. in order to get a refund), you tend to get more false negatives from the GP which block you from going to the next stage "It's nothing, just stress-related." In countries were you have the option to go directly to a specialist, they tend to be much more trigger-happy in terms of giving you a full workup and GPs/Physicians will more easily refer you to a specialist.

And I feel like the attitude extends to the specialists themselves. I suppose making people go to a GP first creates a kind of efficiency and predictability which alleviates pressure to exaggerate the severity of the situation.



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