That’s my theory. They are good at obvious things but if something is a little tricky nobody puts the time in to figure it out. And nobody talks to each other. I always read about “care teams” but I have never seen such a thing.

There are care teams at specialized and high cost situations, main examples being a major surgery to treat well understood condition. But for normal folks living with non life threatening conditions, this is almost impossible to find unless you're very rich.

You really need to be your own advocate to get thorough treatment for anything non-routine from many primary care physicians.

It's interesting to characterize this as an issue. If 20% effort can solve 80% of the problems...

Then there are the 5% of problems that could be solved with 20% effort, but there is enough money in it to convince the patient to pay for more attention even if they don't need it.

Let's hope that 80% of doctors don't gravitate to the 1% of patients that can afford to pay for exclusivity.

People with enough money to see 10 different specialists in search of a satisfying answer are probably already moving outside of the treadmill medicine realm.