We see so many "failed spine surgery" patients in pain management. Insurance companies are willing to pay for surgeries but they will not pay for pain management to prevent or precisely identify the actual pain generator.
If you have chest pain, unless you are having an acute MI, you do not see the cardiac surgeon.
Instead, you see the cardiologist, who makes the diagnosis, prescribes the appropriate meds, does the minimally invasive diagnostic procedures (like a catheterization), and does the minimally invasive stent.
You only see the surgeon if you have a documented surgical lesion and you have failed medical management.
Pain management should act like primary care....