By VATSAL G. THAKKAR JUNE 30, 2016I received an email from Doximity, a closed professional social media site restricted to physicians. On Doximity we all share elevator talk...the few seconds of intercourse discussing patient experiences among peers. (probably illegal under the shield of HIPAA regulations. These regulations have become more than burdensome, because they do effect patient care.From a Medical-legal standpoint this places the physician in jeopardy, despite his order for an MRI. Had the patient presented at an emergency department an MRI most likely would have been ordered. And since it was in an acute emergent condition it would have been pefrormed immediately and without a prior authorization. The risk of a legal incident in the emergency setting would pre-empt any decision by the insurer. The hospital or MRI center would be the loser if an insurer retroactively did not authorize a payment. (they do not like losing money with smaller margins.). The insurance company is under control, unless the physician insists using his authority to protect the patient.This scenario occurs multiple times a day for most MDs. It is a major cause for burnout, which most patients are aware occurs often early in a physician's career.