A bit off-topic, but why are proctologists despised in America? I can understand it's not an encounter you're looking forward to, but why put them in the same c

A bit off-topic, but why are proctologists despised in America? I can understand it's not an encounter you're looking forward to, but why put them in the same category as care salesmen and lawyers? Are they known for using shady tactics, being extremely expensive or untrustworthy, or something else?