Rationed health care is the future of medicine. Get used to it.
That is the problem with protocols, guidelines, and EMR's. No room for individual judgement, nor professional skill.
As to Norm's points, I can say a bit.
Read a review of the state of prostatic cancer diagnosis last year. Seems to be no better now with PSA screening than it was 40 years ago, when as a student, I ordered an acid phosphatase among other tests on an inpatient, which came back elevated, and was chewed out by the medical resident, for "He doesn't have prostate cancer!" Now, the resident had to account for that value! Nonetheless, today, PSA screening is not the answer either, according to the article I read. And, much of the discussion was cost/benefit analysis. The fact is, very few die of prostate cancer compared to the number who are diagnosed with it. So, the thinking runs, why worry?!
Same story was told about PAP smears in the mid-70's when I was a resident. Medicare wished to limit them, as the cost of doing them exceeded the cost of treating the low number of cervical cancers missed by not screening for them.
Diabetes? No one knows. But it seems clear that the blood values have been adjusted (lowered) to incorporate more people into the pool of diabetics. Whether that is due to the profit the sale of oral hypoglycemics has generated or not, I do not have any evidence. But, don't believe the company line of too much obesity as the cause either!
And cholesterol? Never was a risk factor prior to the advent of statin drugs. Now, it's a big deal. That, I know, is a scam. The journal articles preaching the benefits of cholesterol control are all company funded and sponsored. I could go into the human biochemistry and physiology that clearly indicates no relationship, and which has remained unchanged since humans walked the Earth, but that would bore everyone here. However, statins do have an important side-effect that sells a lot of Viagra. Impotence. First, they brought out Lipitor. Then, they brought out Viagra.
So, since medicine is now pure business, don't expect personalized care. One size fits all, and Obamacare is dancing to that tune.