I've had doctors who basically told me that I would have to allow them to perform procedures I didn't want and that were medically optional or they would have a hard time justifying keeping me as a patient (for financial reasons). It's a fact that many doctors are more incentivized by their bottom line than by their patients' real needs. Whether or not the poster a couple of posts above likes living in such a world, it is, nevertheless, a reality for a lot of people whether they like it or not.