Michael: We might be able to have conversations about this with the doctor's office.
Me: I understand healthcare is a mess, but in the past we never saw it. That was before people with insurance were paying for their own healthcare out of pocket. But y'all need to do a better job of negotiating stuff like this where the doc does no more work, but gets paid twice.
Michael: I'll put a note on your account about this sir.
Me: Thanks for your help.
So, that's where we left it, and that's where it will probably continue to be left. I like to think I am relatively sophisticated at navigating the healthcare system, but I'm at a loss on how to navigate this.
If this is what we can all expect to encounter when trying to resolve a simple primary care visit (or visits, depending on your point of view, apparently), it's tough to see how the individual consumer can ever be expected to alter practices like this. The only choice I have is to find a new doctor, and as the insurance company representative noted, all doctors do this.
What no one seems equipped to do is answer the question of why.