An article published in the JAMA Network in the final days of 2020 titled "Just Do It - Everyone Should Follow the Guidelines," indicates that not everyone is receiving the message about polypharmacy. Though not a paper about medications, the "just do it" article provides an example of the prevailing culture in healthcare - guidelines become rules, and, if you assess, then you will likely prescribe. The prescriber soothes by prescribing, and the patient bears the burden.