My physician accepts medicaid and medicare funds, so he’s effectively employed by the government. That’s why I deal with him the way I’d deal with a police officer.
He also gets paid by my insurance company rather than by me directly, which makes him an employee of the insurer. Anything he writes down or reports about my conduct could put my coverage at risk later on, so I handle him like I would handle a snitch.
How does that play out? At my yearly physical, I hand over the private blood labs I paid for that year so he can upload them—but only if the results contain nothing that could be used against me. (For instance, my 9.5 ng/mL GH blood test never ended up in his chart.) I’ve been seeing this same doctor for several years, and by now he doesn’t bother asking why I do it. I don’t disclose my marijuana use, and I don’t talk about my hobbies. These days they’re trained to ask whether patients keep firearms at home. (What even is that? Obviously I don’t have a firearm at home—I brought it with me

)
I answer only when he asks something, and I tell the truth only when I believe it works in my favor. Otherwise I say whatever he expects to hear. On rare occasions I’ve had conditions that genuinely needed a doctor—an infection that called for antibiotics, for example, and years ago I broke my foot and went for xrays. In those situations, getting help for something that truly requires help is the smartest play.
Doctors are a tool, not a teammate. They get used for terrible things all the time (APA people at gitmo, circumcision, you get the picture). I wish things weren’t this way, but I play to win, and this is the system I was handed.
Keep in mind that under the law, only ONE person is obligated to keep your secrets, and that’s your lawyer. Never lie to your lawyer—they’re your only friend. Attorney - client privilege is so strong that it makes doctor - patient confidentiality look like toilet paper.
One final point: if you’re uncertain about your health, it may still be best to depend on your doctor, just understand the risks. The only reason I operate this way is that I’m confident in my ability to manage my own health. If that ever changes, I’ll probably be more open with them.