Many times good doctors are pressured by the corporate takeovers of all the hospitals. Follow their whiz kid guidelines or lose affiliations.
My own doctor retired in disgust. Between corporate takeovers and insurance companies forcing patients to constantly change caregivers.

I overheard a doctor telling someone he had to “see” 40 patients that day to maintain the corporate quotas.
40 patients…not much time to listen let alone make a diagnosis.