I recently had my annual wellness visit with a physician whom I have been seeing for a few years now. She is a member of a group practice that is under the umbrella of one of the major hospital systems in Pittsburgh. While I truly like her as a person and trust her expertise, it became very clear to me at this last visit that her hands were tied in a way that hurts both her as the provider and me as the patient. As I sat in the exam room waiting for the doctor to enter, I not