It isn't quite as bad as you paint but there is truth in what you say. This is simply Goodhart's Law in action. We've made fee for service the model which means

It isn't quite as bad as you paint but there is truth in what you say. This is simply Goodhart's Law in action. We've made fee for service the model which means the only way to make money is to see more patients. Pumping patients through as fast as possible isn't conducive to care and you don't have time to give a shit. We need to fix this by moving care to the mid and low levels as much as possible so that we can still pay people and have better care. That said, there are improvements that can be made. We have very low health literacy in the US and too many providers assume the patients are as literate as them. We need a much stronger teach back style encounter. As above, we need most care done by mid levels. We need to realign incentives among the patients, providers and payers. This is quite broken outside of derm and ortho.