Dermatologists (at least, the mundane sort you come across in a suburban office park) are another matter entirely. I assume it comes from doing a lot of elective work for wealthy people who are concerned with their appearance rather than their health. The PCP is more surprising to me.

Otoh the Derm I go to is the most pleasant experience I have in medical care. Super nice office, very pleasant chatter, quick full body check in and out. Something to be said about wealthy elective care subsidizing my healthcare experience.