1. The potency of the drug is judged by its external appearance, cost or how well known it is in the public.
2. Injection are considered powerful interventions and somehow has a placebo effect on the patient even if it is an inert substance.
3. When starting a new medication, many closely monitor their body functions, thus any new observation would be attributed to the new medication. This may lead to non-compliance or non-adherence.
4. Older patient may complain or criticize the extensive diagnostic tests they have to undergo in U.S., which is unlike in their home country where many older physicians prescribe medication without any diagnostic tests.
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