Awesome rant, Sir/Madam. 👏 I’d like to add one thing, as someone who has spent a lot of time in clinics and hospitals: it’s not your doctor’s job to spoon feed or coddle you. She’s busy. She doesn’t have time.  As a patient, it’s up to you to educate yourself about your situation so you can speak her language and intelligently discuss your symptoms and treatment options, and to be compliant. You do those things, it’s amazing how much better the service gets. And, if you’re an “easy” patient, then the doctor may cut you a break when billing time rolls around.  Finally, if you’re fat and the doctor tells you to eat less and move more, then fucking do it. It’s the cheapest and easiest medication I know of.  *Edited to fix screwup.