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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!
It is a well documented fact that doctors generally dismiss women's pain (and that of members of other marginalised groups), so they don't see anything actually needing fixing, so they don't care enough to investigate. It is only when we become a pain to them that they'll act.
I also fix machines, and I have worked with people who only pretended to fix machines but always ended up leaving the actual fixing to others because they did not (could not?) engage the troubleshooting mindset. I imagine it's similar in medicine, but with more university debt.