They are a bad thing. It implies that the healthcare provider is doing the patient a favour by letting them have a pump, and in return the patient has to do as they are told. Which is often a bad thing, as many (not all) healthcare providers dont know as much about diabtes, in particular the patient’s diabetes, as they think they do…I think it is treating the patient as a child or a criminal – ‘do this and we’ll let you have a new toy’ or ‘do this or we’ll punish you’ (by not letting you have a new toy).
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