This is not at all true. There is bureaucracy surrounding what insurance companies and medicare will pay for, given specific diagnoses (medical necessity guide

This is not at all true. There is bureaucracy surrounding what insurance companies and medicare will pay for, given specific diagnoses (medical necessity guidelines). But the actual process of diagnosing a patient is not trivial and that function can not be described as that of a "bureaucrat". Yes, you need a specific diagnosis X to justify procedure Y, and that can feel bureaucratic, but there is nothing bureaucratic about getting to diagnosis X in the first place.