I am ashamed to say, a doctor, Dr. Richard Orr of Southwest Medical, go through so much trouble for an education only to become a puppet for Optum Care. Their philosophy is to no longer prescribe pain medication for senior citizens. My medical record contained info of spinal spondylosis, degenerating discs, arthritis, as well as other problems that cause severe chronic back pain. It is so intolerable that without pain meds ,eating, sleeping, and trying to live a normal life is impossible. I was forced to go to another clinic with copies of x-rays, radiology reports etc. to show the extent of my back problems. Not only were pain meds re-instated but increased in strength. I am also very pleased to be getting an MRI as well. So if you think the lack of care is good care then this is the place for you. I truly think that Dr. Orr should be teaching at the college of Rangoon or some other assorted night classes. What a clown!