I think what the o.p. is saying is that his doctor was looking out for his wellness and has a handle on it, and Medicare was aware of it, before this latest round of government adding more bureaucratic data gathering that is compiled and analyzed and reported upon for ______ reason.
And that the federal government is well known for creating "make-work" types of jobs that keep the public sector jobs flowing despite their worth.
Teachers are under the same load of increasing bureaucracy oversight. They know every one of their students and they custom teach to their levels and they grade their papers and test them and report those evidences of performance to parents, administrators, state boards of education, and federal education bureaucracies. And yet, the feds add more testing and data gathering as if the teachers' individualized knowledge and grading of the actual student they are with 7-8 hours a day is not good enough, and so they put in some massive federal thing like No Child Left Behind.
Unfortunately, many of the same teachers who decry what's done to their dedicated work seem to think it's just fine for the feds to nullify what the doctor is doing by actually knowing the patient in person. One of many double standards going on.
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