While I don't have RSD I do have spinal disorders and neuropathic pain. But, wow, I have never run into this with my pain docs. The first group was at a teaching university. And the only reason I left is because they couldn't seem to find the pain generator; otherwise they were okay. The one I see now is affiliated with a local hospital. But with both of them no, no contract, no peeing in cups...none of this! He performs injections when warranted, prescribes meds, conservative therapies; all of it and I have never been questioned on anything for 10 years. I don't know maybe it is the state of Indiana or something. I do know Indiana was one of the first if not the first to have a statewide database. So, maybe that is part of it. I have no idea really and am not doubting your story. Just saying it constantly amazes me what people have to go through. And, oh, yes, I have Medicare, BC/BS and Tricare and have never had a problem at all! And I had access to my records; just had to pay for a couple of them once. And when I ask for copies, they usually just give them to me and/or clear it with the doc. In any case, I love my PM and would follow him to the ends of the earth! And I honestly don't have a problem with the sharing of my medical records. The only problem I can foresee though is that under Obamacare you might be placed in certain "risk pool".