I feel that prior-auth has been one of the worst things to affect physicians' lives, along with Medicare and insurance companies' constant assault on physicians’ ability to do the right thing in the most efficient manner for their patients. This is all labelled as "monitoring" so that patients are getting proper care. It is a huge wastage of resources. One can write a big dossier about everyday examples of this. I have heard from many many excellent physicians that this is the main driving force behind physicians' consideration of early retirement, and that includes myself.