To both of you, I was a lucky person that I could go to university in the first place - no tuition back in those days, and via friends and colleagues knew more or less who the kumquats were, and who were the able in the med faculty. This is certainly part of why I got out of breast cancer fast.
Gawande had a major article about changing medical access and the modes of med practice. I posted it here before, and you dismissed a first paragraph, Roger, didn't want to click past that re the New Yorker. I think that was before paywall. He would be on your side. It's the two Texas towns article.
I've had more or less luck with university clinics, probably two dozen times excellent and one piece of **** not so, an earlier one very annoying but not stupid. That's besides the surgeon who fucked up my left eye, not part of any clinic. I recommend university clinics now, if only because they tend to have grand rounds and argue with each other, from my experience running a rheumatology clinic lab.
Besides, you need to get better care, Roger.