Is this healthcare change a significant loss?

I phoned my doctor’s office from the lab this morning: “I’m here at the lab for my blood work for my annual physical. There’s no order for urine test. Should there be?”

Doctor’s assistant: “No. We don’t order urine studies any more because the insurance doesn’t pay for it.” She said that if during the exam a urine test seems indicated, they can do it there in the office.

Annual exams have always included a urine sample. This seems like a big change to me. Is it? Is it a bad one?

Tags as I wrote them: medical, health, physical examination, lab tests, insurance companies, healthcare.