If you can’t get a good one it’s not even worth trying. So I wonder if that’s the case for some people.
We didn’t have one for 5-6 years, finally I signed up for one and the guy sucks ass, so I just use whoever is available at the walk-in clinic. Even then only 1 out of 5-6 doctors there gives a shit, and 1-2 do depending in their mood.
My wife didn’t bother signing up with one after I told her my experience.