"(95%) I am making up a number".
You are. Try typing in the symptoms/appearance of a "simple" rash to a program and see what you get.
"So most primary care physicians are now relegated to gate keepers of the HMOs and prescriber of pills."
Perhaps there are some PCPs who don't care anymore, because they are overwhelmed with the paperwork required to document, get paid, refer patients, and avoid litigation.
However, I'd bet that the majority of PCPs still care and are more like good detectives/educators that try to get to the bottom of what ails their patients with the least expense/time and explain these complex medical problems in layman's terms to their patients, who have much less education on average.
"inneficient in nearly all areas where it's paid for by the insurance company"
Absolutely...
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