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I think doctors are so regulated by insurance stuff that they don't always do the medically most appropriate things either. Here are some examples of inappropriate tests done lately in our family: $56 pregnancy test to show the same thing the $3 one from Target did (I mean it. They use the same chemicals and everything.) Lead test for dd. (She has ZERO risk factors. Her doctor has been practicing for 30 some odd years and has seen ONE come up high and that one had OBVIOUS risk factors.) Blood type for me. (Do you really think it changed from the last time?) I could go on . . . In the meantime, it's pretty much a foregone conclusion I'm going to die from some sort of circulatory issue (barring a weird accident). So, why are they forcing a pap on me (again, NO risk factors) as often as they can make me come in, yet almost completely ignoring my cholesterol? It's all about what the insurance companies consider "routine or appropriate" or whatever . . .