Also a very litigious society. Even if they mean well, going off the page and trying to figure out a “Haus” solution is just putting themselves at risk.
They have to check all the boxes for your insurance. They have to check all the boxes for their own malpractice insurance. Even if they followed procedure, they might get dragged through the legal system to defend themselves if a client feels wronged.
That turns you, the client, into a number in a dispassionated machine.
And I don’t have a solution to it.
Edit - that was a bit too bleak. There are a lot of doctors trying their best to retain humanity in a system aimed at destroying it. The whole med school journey is aimed at weeding the people out who are just in it for the money. It’s designed to gatekeep the industry to require a massive amount of passion to get your foot in the door. But the realities of the industry do their best to squash that.