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That doesn't sound great because common infections have similar symptoms. You might not know whether you have the flu or strep throat or just a cold unless you go in to take a test. If it's strep, you need an antibiotic. If it's one of those others, you don't. So do they just ignore that you might need an antibiotic for those first few days?
It's a personal choice, the doctor is now allowed to do that if you wish. Often you yourself can tell whether this is a big one or just the common flu. So it's great, because you don't have to leave the house. Specially great for city folks who would often take public transport. Keeps the stuff more contained and not spread everywhere.