piggy backing on your comment, cultural differences with regard to responses to pain are real. A doctor, especially today, does not know their patient so well that they can assess the pain from the patient's expression or description of that pain. They need such generalizations based on observation in order at least start treating the specific patient as they get to know them-- if that is possible any more. If anything, they've gotten better and collecting good data on this, not worse. This isn't a bunch of w.a.s.p.-y doctors chatting about patients in the country club after golf. The biggest problem is probably people think it is wrong to express pain, not the drama queens.