It’s not paternalistic. It’s reality. Most people are not equipped to vet all the medical information that comes their way. That’s why we should talk to our doctors about results.

I don’t think my mechanic is being paternalistic when he talks through my car and what is/isn’t important. I like that helps me prioritize things. Why is this any different? In the end a person can tell a doctor “I don’t care run the test” or whatever so what’s the big deal? You can still do what you want. Get that biopsy if you need the peace of mind.