What might be a reason for a healthcare provider to choose not to pursue approval?

A healthcare provider may choose not to pursue approval primarily due to a preference for working independently without regulation. This decision reflects a desire for autonomy in their practice, allowing them to make decisions without external oversight or compliance requirements imposed by regulatory bodies. Providers who prioritize their independence may believe that pursuing approval introduces unnecessary bureaucracy, limits their ability to innovate, or restricts their clinical judgment and practices.

This stance can stem from various motivations, including a belief in providing personalized care that meets their professional standards and values, as well as a conviction that they can deliver high-quality services without the constraints of formal approval processes. While the other options highlight positive attributes such as community engagement, trust-building with patients, and commitment to care quality, these factors generally drive providers toward seeking approval rather than opting out of it.