At the same time, I think it is unethical for a doctor to continue prescribing medications that they do not believe you actually need based on your current heal

At the same time, I think it is unethical for a doctor to continue prescribing medications that they do not believe you actually need based on your current health. To them/me, it would be malpractice. If you were on an antibiotic for strep throat, finished your course, and then asked your doctor for more of it without any symptoms, should they prescribe it again? You wouldn't cause grave harm (unless the aggregate risk of super resistant bacteria counts). All of this shouldn't be conflated with patient centered care, though. I too agree that the patient should be in charge and the doctor should be there to support. But it shouldn't mean that doctors have to do whatever the patient asks of them.