Here is a concrete example of the bias for generalists that may impact many individuals. There are two choices for screening colorectal cancer: colonscopy by a specialist or sigmoid scope done by a generalist. The colonscopy is 3 to 5 times more expensive but it covers the entire length of the colon and has the ability to remove polyps. The increased cost is due to the expertise of the physician, the instrument cost, the assistant administering sedation, and the location in a hospital outpatient area. My physician wanted to use the sigmoid scope on me. I refused because the sigmoid scope only covers half of the colon, my physician does not perform the procedure often, and no sedation is available. I have been told that the procedure is very unpleasant. Do you want government officials to force the sigmoid scope on you?
Ain’t no thang. They even let you watch it on TV.
Hey, you might not even get a sigmoidoscope and have to make due with a rectal blood test under 0bamacare depending on your age or usefulness to the collective.