A reader on an “ask a doctor”-type forum wonders why doctors order so many tests and referrals. The response:

You are not alone in wondering what is going on in our health-care system. Doctors and hospitals are more concerned with liability prevention than providing consumer-friendly health care.

But don’t despair and don’t give up. There are good doctors out there who still care and they need to be encouraged.

You need to take responsibility for creating a positive outcome and thus make sure every visit to the doctor ends well for you.

Not sure what to make of that last sentence. How do patients “create a positive outcome”?