> I don't thing the crisis we're in right now should be blamed on patients; they might want a script, but that doesn't mean its in their interest.

I'm guessing you're American since you're assuming everywhere has the same crisis you do. From what I've read here (on Hacker News), you have plenty of systemic problems. I doubt blaming doctors is going to be the most useful course of action. But then, I don't really know. Perhaps all doctors in your country deliberately do things that are against patients' best-interests, and would continue to do so if patients actually wanted the best thing for them. Do your doctors really not suggest good diet and exercise as treatments for type 2 diabetes? I'd be very surprised if they don't.

Edit for clarification.

Not OP, but one thing I've always found absurd about our medical practice is doctors recommending things like whole wheat pasta for type 2 diabetes. Really? Plate of carbs? Many health systems here still have this kind of stuff in their official guidelines.

I've never seen that in a guideline or heard a doctor recommend that, but I agree it's strange. But it makes sense to me if it's a case of "replace your endosperm-only pasta with whole-wheat pasta". It's not practical to tell someone with T2DM they can never eat pasta ever again.

It's far more important to look at the diet overall than to agonise over the occasional pasta meal.