[Angostura]

I wouldn't necessarily assume that not suggesting investigations is detrimental to patient health. There is a continuing big debate in the UK medical profession about how over-investigation and over-medication/medicalising people can be a real problem in terms of patient health.

If you are seeing a disparity between UK and US in terms of advice about when something needs to be investigated, it could be that the US site is over-promoting investigations.

Keep in mind that the NHS puts a lot of work into prevention, into staying healthy without medication - it will quite often advise life-style changes, rather than popping pills - and that's for patient benefit.

[lupire]

The point is that they aren't neutral. They have a bias toward what they think is best, and they don't overcome it by acknowledging and advertising alternative views.

[switch007]

I was careful to say non-UK. (I’m also not American fwiw)

I agree with many of your points.

[Angostura]

Apologies for the US assumption.