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First of all, the doctor was quite different from (IOW much better than!) the PA we saw at the GI specialist's office. He paid close attention to Mr. SK's medical history and took all those details into account in ways no one else has.
Yes, this is often the case. Substituting PA care is fine for many things, and it's certainly less expensive on the system, but your experience is the norm and not the exception. Physicians have a depth of knowledge that usually gives them a better perspective. And if you find one that actually reads the history (less often in these days of assembly line care) and listens to the patient you will often get insights that change the picture quite a bit.
