In all areas of medicine this is happening. I would be sure to ask for the credentials of the person you are talking to if they are recommending a procedure, treatment or medical device. Do a little research and try to understand what it is that is being recommended. Unfortunately, there are a wide variety of practices like those described above and you need to be an educated consumer. Often, when insurance is paying we fail to ask questions regarding the quality of care we are receiving. Regardless of the source of payment it is a good idea to ask questions and be sure you are receiving the best possible treatment from a qualified individual.