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And its interesting that you bring up the Surgeon anallogy. Because MDs are required to act under the medical equivalent of a Fiduciary Standard. They are required by law to put a patients best interest first and foremost. They are required to charge fees that are "reasonable" and "justifiable" and in line with the market in general... just like the new DOL Regs require. They also have to be able to justify to an ethics board or other regulators that they did indeed put the patients interest first and foremost and did not allow any conflicts of interest affect patient care.