I would at least appreciate it if doctors were permitted to jump ahead to the actually effective stuff (i.e. ketamine, psilocybin therapy) without having to force the patient through the gauntlet of ineffective drugs first. I believe it’s insurance companies to blame for that one. They would rather not pay out for quarterly/yearly/one time ketamine treatments that actually work, because that means their money isn’t flowing in the preferred direction. I guess they prefer us to die buying tainted drugs off the street.