It isn’t so much a knowledge gap as misalignment between patient and doctor interest: there is pretty much zero incentive for doctors to follow a non pharmacolo

It isn’t so much a knowledge gap as misalignment between patient and doctor interest: there is pretty much zero incentive for doctors to follow a non pharmacological path, limited incentive for them to follow a more difficult pharmacological path, and low to no cost to them for following that easiest pharmacological path. Doctors are highly trained technicians who are well rewarded for processing patients quickly and are well protected (insured) against the inevitable occasional error, assuming such thing can be a) detected and b) proved. We are better protected from our lawyers and bankers than we are from our doctors.