Doctors simply don’t have time to prepare for patients. They are so tightly scheduled and usually they’re trying to get our appointments over with as quickly as possible. For example they aren’t going through all the test results and connecting dots. They just don’t have the time to examine things that closely and prepare.

The thing you’re describing about bunching patients into general states with generic treatment - that’s the majority of GPs I’ve seen over the years, sadly. I don’t think it’s because of incompetence as much as economics. They have to see a certain number of patients and make things work.