That's not what I'm saying.
It should not exclude the government discussing it or people and their doctors discussing it or doctors getting paid for their time. The problem so often is that things don't GET done and so, after numerous complaints from citizens, then the government steps in and takes care of the problem. IF the insurance companies would simply say, "We'll pay for the doctor's time to counsel with their patients on this issue," then the problem is pretty much solved and no government action warranted or wanted. It does have to include Medicare funds, though, and, unfortunately, that would mean some minor government action so that Medicare pays docs for their time.