I debated whether or not to include "on earth". While I am genuinely curious as to what you'd have to talk about with a doc twice a month I also think it seems

I debated whether or not to include "on earth". While I am genuinely curious as to what you'd have to talk about with a doc twice a month I also think it seems extreme given what resources we have available to us as patients outside of the medical professionals we (the insurance co's) pay for. Many of your examples/analogies fall outside 2x/month. Yes, I do perform maintenance on my car and computer, but not 2x a month. When I've had medical issues that warrant seeing a doctor I first do my own research online so I know what questions to ask. Very rarely has the doc revealed something to me that I didn't already learn as part of my research. The only real value I've received is if tests were needed or procedures or medication was indicated. These have never required twice monthly contact. I have similar issues to you (sans the surgeries) and when I consult with my doc he (my GP is male) gives me the information I need. Unless something significant changes then there's nothing new he can tell me two weeks later. Completely agree we have sick care, not health care. Then again if suddenly 2x consults with a doc were made available for free that wouldn't change anything. Medical science still has a lot to figure out in terms of 'health'. Many of the treatments prescribed aren't actually backed up by good empirical evidence. My brother-in-law is an MD and he reminds me of this often. I'm 50 years old.