I understand all of this, and I think its a good point. It misses my point however, that it isn't morally the doctor's choice. It's mine.

Again, in my fantasy view of the world, the doctor would not be required to get this medicine.

On the other hand, in my fantasy world, I would continue seeing a doctor every couple of years for checkups, etc, because I respect and appreciate the education and experience you describe. Since he knows me, and keeps records on me, he would ask me how my back is doing, etc... Again, it should be my choice whether to seek his counsel. I would, because I know he's dedicated many years to developing his craft and he has insights I can't have. This is the same reason I would hire an attorney. I am not *required* to get an attorney, or an accountant, but many would say its probably a good idea.

I did see this doctor every 2 or 3 years for a physical, or for some other reason (sinus infection or whatever). I'm pretty healthy, so I didn't see him every year.

I really don't know if I can bring myself to seeing him again. I don't trust that my interests come first.

Jim