Are doctors disincentivized from ordering tests? I don't fix humans but I sometimes fix machines, and testing components that might be related to the problem is, like, the first thing to do. How does anyone hear "chronic abdominal pain" and not think "hey maybe we should check and make sure all the organs in the abdomen, of which there are many, are in good condition"? Especially the uterus, which is well known for its relationship to painful conditions like endometriosis!