Yes, I agree but there is more to it. The Dartmouth study hits it on the head. A big culprit is "electronic health records" and ends up causing the physician an extra 2 hours after work (for me it is more). Physicians do not have the time to go to a dinner meeting and then back to the office for 2 more hours. Another big problem is the result of government intrusion. As you note we are treated as untrustworthy without any evidence base. We are viewed as being naïve, having only 8+ years post college, we are ignorant and we will succumb to pharma pressure and implied dishonesty in their messages to us. Even the pharma reps who have only had a college education or more, can only discuss the package insert. They are certainly not capable of holding a scientific discussion! How dare they try that! They are allocated as “Stepford Drug Reps.” The government mentality is that I am not allowed to have a company pen – thus I am now at a loss as to what to write for a prescription. Thank goodness I do not use a pen for the worthless inept, non-scientific based, electronic health record I am required to use. I actually have a paper chart to care for patients and EHR for gov compliance.