100% agree with your article, but that is beside my point. I wanted to express my surprise at your experience with doctors. I have never had a problem getting a reduction mammoplasty paid for for my patients. The insurance companies have specific requirements which they will tell you and your doctor has to include in their office note that you have these things. They're usually something like back and neck pain (r/t postural changes to keep your center of balance above your feet), grooves in the shoulders from bra straps, wearing two bras to keep from bouncing uncomfortably, rashes underneath, difficulty exercising d/t pain and bouncing. (This is not specific medical advice. It is simply a description of my experience as a primary care doc with women with breast hypertrophy.)