“Flow chart medicine” is what I call it.
While there are some good Drs in the US, the vast number are average or worse.
They differ to recommendations from their pharma suppliers (personified by the short skirted reps they send to take everyone to lunch and supply gifts to the staff) and never do the basic study of the real problem.
And if you even mention that the research you did on the symptoms is in disagreement with their diagnosis, they will skoff at you or refuse to work with you any more.
Yet, they are entrenched in this country and it is near impossible to remove them or get them “defrocked”.
Half of all doctors and nurses are “below average.”