Yes you are right, doctors and their practices are at risk. Thats why I shut my mouth around my doctor and just do as he asks. I am grateful to be getting the help. I actually have a very compassionate doctor. His office is often very full, and I don't know how he manages to do all he does. He doesn't make this personal with request for screening. It was a PCP who charged more for screening, not my pain specialist. I too think it would be a good idea for people to go to psych evaluation. I would give anything in the world to be able to afford to go for psychiatric council. It is beyond my means, and medicare only pays a small amount toward it. If I got coverge for this option, I would be beating down the door to get to one! The only real evaluation I had was for Social security disability requirements back when I applied. Florida, is in a sticky situation. Too many abused and set the stage for this screening to occur. Thanks for your in put. I do like hearing what people think about this situation. ginnie