I have been experiencing another version of this coercion wherein the government in collusion with insurance and pharma lobbies have strangled MDs and DDSs: I cannot find a dental hygienist to clean my teeth without an oral exam, or a dentist to provide an exam unless I consent to having x-rays. Used to be I could choose to do X-rays every couple of years and I would still have access to dental care. Now I am being blocked from all professional dental care because I opt out of the X-rays every year.