The great wall: Barriers exist at every step of dry eye process

What do you see in your mind’s eye when you write that first prescription for your new symptomatic patient with dry eye disease?
Me? I look up above the slit lamp and see a 50-foot wall with hundreds of medieval archers ready to rain destruction on us if I sign that script. Not to mention the multitude of horrors that await us in the prior authorization dungeons should we make it past the castle gates. Wait! Is that a real, live gargoyle about to pour boiling oil on us?
If this is what I, a highly experienced, adequately cynical dry eye expert, see, imagine what it feels like if you are that