The risk to the doctor's career is simply too great for any bad outcome. Most people think these medications are bad or excessively dangerous. People are suspicious of people who take these medications. Expert opinion has changed somewhat in response to a series of scientific studies. But the majority of community based physicians have not changed their prescribing practices.
Different doctors have different concerns.
Their relationships suffer. They become demoralized, angry, and depressed. I think that the disenfranchisement of patients through managed care is leading to a political back-lash, and that when the dust settles, patient rights to effective treatment will be more securely established. They should join grass-roots organizations that advocate on their behalf. They should make access to treatment a political issue.