The "role playing" aspect is treated as fake and inconsequential here, but for a doctor, doesn't it translate to "this patient is all set and will not call late

The "role playing" aspect is treated as fake and inconsequential here, but for a doctor, doesn't it translate to "this patient is all set and will not call later saying the problem got worse"? In contrast, hearing from your doctor that "your labs are normal, you just have anxiety" is a common and horrible experience. It's likely the end of the doctor-patient relationship and if anything is being missed, maybe even a lawsuit. I get that there are some interesting Objective Science issues here but for studies aimed at improving real world clinical practice, subjective outcomes matter.