> No body goes to the doctor because they want to.

This isn't entirely true, there are entire industries catering to the worried well, eg expensive precautionary full-body MRIs with unclear scientific backing, whatever it is Bryan Johnson is doing and selling these days, etc.

And exactly what counts as need flexes and changes depending on circumstance and who is asking. "Do I need a doctor for this" is not a question that everyone answers the same way.

The type of doctors who accept Medicare or a possible single payer system are not giving out precautionary excessive mris.

Such a tiny percentage of people actually want to do stuff like that.

Even without factoring in cost, most people shrug it off until it’s bad.

Practically every other country has figured this out, it’s not impossible