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Hoo boy do I have a lot of thoughts on this. I have a piece coming out sometime soon-ish that briefly touches on it, but also I wrote half a novel about it (https://trousseausyndrome.wordpress.com/).

In short, everything you described is correct, but it's far worse than you think. Doctors must always record everything as if it could be read in a courtroom one day (yes, I was instructed to write that way, literally using that language), and they also tend to practice "defensive medicine" which could keep them from being sued. This leads them to do lots of extra tests, many of which are unnecessary, and then over-diagnose problems. In OB, a "wrongful birth" lawsuit (yes, it's a real thing) drives the prenatal testing regime and recommendations for abortion. OBs are also especially susceptible to what you're describing because they do alternate between treating unborn children as patients they are trying to save, liabilities, threats to the mother, blobs of tissue (especially first trimester, where miscarriages are often "inevitable" i.e. there is no intervention that can save the baby's life).

All doctors are also used to seeing people at their worst -- which means that they develop a great deal of cynicism and arrogance to protect themselves against the emotional consequences of caring for people. Again, I could write a book. I don't know if you've ever read anything about the "hidden curriculum", but there's a lot there if you're interested: https://pubmed.ncbi.nlm.nih.gov/7945681/

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