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I think it’s probably more physician driven than facility driven. I’m sure you can always put in a request regardless of the facility.
PS. Disclaimer I don’t treat Covid patients
It's all driven by facility protocols it seems. Doctors are no longer free to use their judgement in most facilities, for fear of losing job or license. I have found 2 doctors who do, one has yet to name his facility or his actual name. The other working around the clock with transfers across state and country lines.