Saying “no” to procedures and treatments, even when they’ve been shown not to be helpful to patients, is easier said than done for physicians, threatening efforts like the Choosing Wisely initiative begun by the American Board of Internal Medicine.

POLITICO explored this issue, finding the “more isn’t always better” philosophy has seen successes at places like Dartmouth-Hitchcock Medical Center. Some doctors, however, see these efforts as a threat to their autonomy from their own medical societies. Then there’s the problem of these initiatives conflicting with quality measures or a physician’s reimbursement.

“The answer is money,” said George Taler, MD. “What was the question?”

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