Don’t forget the venture capitalist factor. Your doctor’s office and your PCP are different, more rushed, now because of venture capitalists.
They’ve hoovered up many clinics and now force each doctor employed by those clinics to book themselves like an airport. No more free slots. Regimented 15min time slots, back to back. Anyone late to an appointment loses their slot and may even have to pay a “no show”/late fee. None of these decisions were made by front lines workers, they were all made by corporate owners of those clinics.
Outcome? People don’t get heard. Don’t address all their issues (they’re allowed one issue per visit, for max profit, in addition to there only being time for one issue during those tiny appointments). They hate their PCPs (instead of corporate) and instead flood Urgent Care and the Emergency Department for PCP problems neither UC or ED will solve. Thus, everyone gets sicker.
If you’re in a state with ballot measures, then you could campaign for rules against single family home HOAs.