it’s about cramming as many patients as possible into each day.
Using general anaesthsia and controlling everything reduces risk as compared to doing it with local anaesthesia which might cause discomfort, vomiting. These can get you sued. You never know who will be the person who will screw you just because you tried to save a few bucks.
General anaesthsia might save a few minutes during the procedure but along with the time for giving anaesthsia, recovery from anaesthsia, after care. It is both more time consuming and costly.
being more personable and attentive would decrease the risk.
You would think so but in real world the more you speak more material you would give if you get sued. Hence the doctrine be professional and cover your ass.