It would seem to me that it is perfectly reasonable to ask that the doctor's office contact you to return if there is a problem. There is no medical reason for a visit to tell you everything is fine. There is of course a dollar reason. Some argue that we patients are emotionally incapable of handling the "there is a problem and we need to see you" phone call. For those in this emotionally challenged state, then you go ahead and ask for a follow up visit even if everything is fine. As to the attitude "I don't pay for it, Medicare does" somebody is paying for it, me, my kids, my grandchildren and the US economy. Does anyone have a routine visit after a mammogram to tell you it was normal?
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