Most doctors are owned by a hospital that is a part of a multi-state conglomerate. There are almost no private practices any more.
The amount of paperwork has tripled and ACA put the insurance companies firmly in the drivers seat. Do you have a medical condition that you have been getting treated for your whole life? Every couple of years now the insurance company has the power to force your doctor to justify continuing to treat you.
If the damn government was in charge of the Sahara Desert, in five years or less there would be a shortage of sand. There is nothing they can't screw up. The last thing this cluster fluck of a nation did half right was WWII.