In Kantovia, physicians' income comes from insurance companies, which require physicians to document their decisions in treating patients and to justify deviations from the companies' treatment guidelines  Ten years ago physicians were allowed more discretion  Most physicians believe that the companies' requirements now prevent them from spending enough time with patients
Yet the average amount of time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years
Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing.