That kind of gatekeeper mentality is just as much of a burden to physicians as it is to patients - it is not an excuse to develop a "god complex". PCP doctors are already swamped, with more patients than they can deal with, medicare patients at an all-time high with payments at an all time low ... just try moving in to a new city and finding a doctor who is taking on new patients to see what I'm talking about. Do you really think they need another line at their door, taking them away from patients they can actually help, just to make a referral to another doctor?
Are you kidding? I had an insurance plan like that once and it was the WORST. Not only did I have to wait to make an appointment with my PCP, I then had to wait AGAIN to see the specialist.
And once I got in the door to see the specialist, I could only ask him about what I was referred for. (I had twisted my knee and needed to see an orthopedist. While there, I asked him about my back - which may have been aggravated by my altered stride - but he said, "I'm sorry, I'm not allowed to discuss that with you.
You'll need another referral". My PCP AND my specialist would roll their eyes and sigh every time a referral was needed. If we are allowed to purchase our own health insurance from the company of our own choice, if we are allowed to choose from any insurance company in any state, these "gatekeeper policies" will go the way of the dinosaur.
They are impractical, fraught with bureaucracy, restrictive and a general PIA - and people will stop buying them. That is, unless they are mandated.
I cant really gove you an answer,but what I can give you is a way to a solution, that is you have to find the anglde that you relate to or peaks your interest. A good paper is one that people get drawn into because it reaches them ln some way.As for me WW11 to me, I think of the holocaust and the effect it had on the survivors, their families and those who stood by and did nothing until it was too late.