I only see my PCP if I am actually sick. Once in a blue moon she’ll hold up my thyroid meds for a bloodtest, but doesn’t have me come in. I have had a few bouts of allergic reactions to plants, and those were “examined” virtually by a PA on call at the office. Otherwise, nothing.
My parents are 89 and their PCP only sees them post-crisis, and then only does the minimum of work.(he loves to send them to specialists) I have had to clarify his directions to them several times as he does not seem to get that verbal instructions for the elderly are not a grand idea. And he never questions obvious things like “why is your weight so low” or “have you fallen” or “are you still driving”. In small town America, you don’t have many options.