The problem is that, IME, the vast majority of primary care doctors match the OP's description. They order a standard test, check if the results match the most

The problem is that, IME, the vast majority of primary care doctors match the OP's description. They order a standard test, check if the results match the most common problem, and then either prescribe the typical medicine the patient probably came across with a few minutes of searching, or shrug and send them on their way. I know in theory they are supposed to look at the big picture and weigh a myriad of factors in coming to a diagnosis. In practice, they mostly just check if any of the blood test results are outside of the reference range and call it good. I'm sure there are great primary care doctors out there that want to defy their own incentives and do the right thing, but trying out a bunch of doctors can take a lot of time and money, often with no payoff.