I'm sure he didn't think of it this way, but I'm on a high-deductible health insurance plan and will not meet my deductible, so he was directly asking for the m

I'm sure he didn't think of it this way, but I'm on a high-deductible health insurance plan and will not meet my deductible, so he was directly asking for the money from my pocket to his office revenue, with all the overhead of the insurance company and an additional office visit thrown in (1.5-2 hours of my time), instead of a 1-minute "write the prescription while we are here." It was directly the grandparent's case, of doctors requiring unnecessary visits to maximize their profit. Even if I had no deductible or co-pay, where do you think the insurance company gets the money to pay for this extra visit? It's from the insurance premiums we all complain about (that is, from my pocket). Again, I don't think the doctor thinks of it that way. He just thinks, "We have to separate well-patient visits from any other services", not, "If I make this patient pay $300 and spend 2 hours, I can pocket another $100 for 1 minute's work."