What makes you think that Lotto is so transparent?
There is no idea of what the outcome will be for your ticket and disappointment usually follows twice a week for those involved whereas PEB at least only disappoints twice a year and at least has some indication for the future.:)
I see a massive change of tune around here on any one of three things.
CMS
In the last stages of LCD determination
Kaiser
To publish in a prestigious journal the results of its trials and possibly what steps they will take.
Johns Hopkins
To complete its Commercial assessment of CxBladder and advise accordingly.
Meanwhile we are at the mercy of these organisations and their "ball of tar" processes.
Blaming an enthusiastic DD et al for something beyond their control is an ill-considered approach, IMHO