This is not the main cost, at least in the US, and it has been falling and eroded by inflation while productivity has risen for some time now.

Perhaps you have been on the receiving end of a few of those “lectures” yourself. If so, was it deserved?
And were you ever lectured by anyone else besodes doctors for your bad manners?

Either it is only the angry Doc’s themself that comment here, or this board beings out the worst in them.”

You said a mouthful here. About yourself, it seems.

You need to get yourself a real life, not one lived on your browser. All you could have ever done as far as “meeting” or “knowing” anyone who writes on these pages is to read what they have written and disagreed with what was written. Doctors who write here aren’t doing so to please you or to treat you. So they are no more doctors to you than ones you see on television talk shows.

The people I wonder the most about are the non-doctors who frequently read and post here. They seem like angry voyeurs eager to peer inside the backroom exchanges behind medical practice, mostly the stuff that doesn’t make it into a patient encounter, and probably shouldn’t.
And when the commentary confirms some doctors are as angry about bad patient behavior or frustrations of their practice as they are, out comes the non-medical voyeuristic lurker to shake his jowls and cry how bad those doctors really are, and how doctors really don’t like their patients or medicine.

To those people, and there are quite a few of them skulking around here, all I can say is to grow up. Try to develop an understanding of others including your doctors as real people who have real likes and dislikes–and hates even–and who in the interest of benefitting someone else, perhaps even you, will try to set those feelings aside. That isn’t so hard. It is all about getting a mature and adult grip on reality rather than the sad misperceptions of the personality-disordered.

There are only a few doc’s I have ever been angry at. Surprisingly, none of them are in my real life, and all of them visit this blog.

Either it is only the angry Doc’s themself that comment here, or this board beings out the worst in them.

This is the wrong reason to see any health care provider, and the last reason I want you to see me. You do have choices. Understand that some HMO’s pay doctors by capitation, which means they incentivize the physician to see you as little as possible and to keep visit time and overhead expenses to a minimum. Do you like to see a provider who is in essence paid not to see you? Many of the new Medicare plans work this way. They suck you in with a drug benefit and may not charge extra like traditional supplements do. I do not accept or participate in such plans. That does not mean that I do not see patients on those plans; they simply are paying out-of-pocket.