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Some on reddit.com/r/anesthesiology say it's fake. Others say this is not for doctors but for the patient.
That reads like someone ticking boxes in some software, assembling a reasoning from pre-written sentences in "simple English". Do they use that kind of tools?
It's nice of them if they do it like that. That way the reasoning is better exposed. The reasoning is easier to evaluate. It is easier to spot the point where the reasoning breaks down.
Let’s just suppose for a second that this really was unnecessary. is it the patient’s fault or the doctor’s? Truly the most insane thing in all of this is this expectation that the patient should be on the hook for unnecessary medical expenses when they quite literally are the least informed of all the parties in the situation.