Final related point: I establish care when I move to a new location but I have never had a medical provider do something like actively reach out and e.g. schedu

Final related point: I establish care when I move to a new location but I have never had a medical provider do something like actively reach out and e.g. schedule me for yearly physicals. The closest thing is people reaching out to administer flu and covid shots. When I was younger I had to have physicals to participate in sports, but as an adult it's like I'm supposed to only reach out to doctors when a problem occurs. It's all reactionary. There's not a good pattern for establishing regular care and maintaining a preventative, nutritional, etc. dialog with a health professional. How do I bill "preventative nutritional consultation" to my insurance provider? We can do it for dental hygiene, why not nutritional and metabolic? The modern state of nutrition feels like pseudo science "neighborhood" gossip. We hated fat. Then we went organic. Then we disliked processed foods. Paleo. Then we hated carbs. Now that's not cool anymore either. When in reality it's probably all of the above. My wife has thyroid problems and they're not diet related (at least we've been told). The whole process of advocating for her health has been exhausting. The resolution of her "case" was not driven by people we were paying to advise us and keep track of things. It was driven by us. We had to make sure medical records showed up in the right spots. We had to make sure appointment scheduling didn't get dropped. We had to reach out to make sure follow up visits and analysis were completed as advised in previous visits directly from the health professionals themselves. I've noticed differences by location where we've lived. It's better where we are now. But it's still very very reactive. Oh you got pregnant? Why didn't you have a conversation with us about starting prenatals? Did we check your TSH levels and make sure you were in a good zone? Shit like that is infuriating... (we did both for the record, but imagine the feeling if you answered no, which I would suspect is all too common).