New ways to harm patients

Where has the idea come from that GPs know the cost effectiveness of every intervention during their consultations?1

When faced with a clinical problem, I formulate a provisional diagnosis and offer patients the choice of available treatment options. What should I do instead? Omit or misrepresent certain treatment options? The better informed patients will know the available options, and I am likely to be able to fob off only the more deprived patients with inferior healthcare. …