How Can We Justify Performing Upper and Lower Endoscopies On Consecutive Days?

This gastroenterologist answered his own question.

I am not naïve to the fact that most insurers discount heavily for endoscopy procedures performed on the same day. But how do we justify the additional risk, costs, inconvenience, and impact on a patient’s quality of life by not performing needed procedures at the same time?

One more example of how money drives medical decision making. If I was a patient, I would not put up with this. But the lay public doesn't have a clue how often this practice style is employed in the real world.