Great article. Important to note that doctors do discuss these issues. Obesity, exercise, smoking cessation and mindfulness are topics I cover with almost every patient. As an experiment, I started coding the proper CPT codes for these items. Less than 5% get paid.
I will continue to do it because my job is to help people stay healthy. I do find it odd that we pay physicians to provide healthcare services, but do not reimburse them for providing valuable preventative care counseling on these key issues.
Many doctors will continue to do the right thing. Imagine if the economics were fixed primary care doctors would be replacing Low T centers with Smoking cessation clinics, weight loss clinics and exercise groups.