>>>Pretty easy question.
>>>Anyone who calls him/herself a professional should do whatever it takes to get the best outcome for someone seeking our help.
>>>Anything else doesn't merit discussion.
>
>I'll bite: the problem with your non-answer is that you also complain about cost. Your response normalizes/compels Pyrrhic victories in which physicians may provide "best" care to the lucky few but can't pay the rent with so few encounters, so they become stock brokers. In medicine as in so much of human endeavor, perfect (or best) is the enemy of good. Especially when you also complain that costs are too high.
>
>A wise man once observed, "beware the poor doctor". If you want to encourage rorting and 5 minute consultations, keep it up.

I really did answer your question.
A long time ago I learned that there is usually a reverse correlation between the amount of time I spend on a project and the value of the outcome to the client.
The notion that time = value might relate to manufacturing widgets but it certainly doesn't apply to professional services.
Ethics, creativity and skill, in that order, trump time.
Anyone who saw what happened to the accounting giant Arthur Andersen can attest to that.
It often occurs to me that I do some of my best work for the client while the clock isn't running.

Yes, I'm complaining about medical costs.
They are outrageous.
I pointed out that while automation- in most other professions- (try to find an accountant who uses a 7 column worksheet with a pencil and an adding machine)- has improved performance while reducing costs, the reverse seems to have happened with medicine.

I pointed out that in my experience when automation intuitively seemed beneficial but it wasn't there were other forces at work.

An X-Ray that costs $1,500 is intuitively obscene.

Compensating pharma reps based on the number of prescriptions their assigned MD's write is obscene.

MD's who know that and still talk to those reps have parked their ethics at the door.