The whole premise of a doctor visit is you don’t know what is going on and you need someone to differentiate everything that’s happened to you to figure out if it’s gas pain or cancer. When you see a Doctor, they are trained for years more than any mid-level provider and they carry massive legal risks if they are wrong or negligent. When you see a PA or LPN they have far less training, and are judged by “nurses standard”, so when they miss your child’s cancer, or kill you by administering the wrong dose, you don’t have repercussions.
In reality, the legal costs in healthcare should be the next big trim on the cutting block - a single judgment for the $100 million against a provider somewhere in South Carolina makes insurers raise malpractice rates for all doctors everyone by huge percentages. Those costs put doctors out of business and all of a sudden you have far less providers in many rural areas and people die of preventative stuff. The stress of dealing with malpractice is so high (60% of all doctors are sued for almost entirely frivolous reasons, every single year nowadays) that doctors are now directing their kids to become nurses - higher guaranteed pay, you don’t lose your 20s to medical training, and no stress of career ending lawsuits.
If you go to a hospital for a longer illness and have to be taken care of by team of rotating health professionals, every lawsuit can name every single professional, whether they have anything to do with your damage or were just on the note for admitting you to the hospital. All of those providers then have to pay 100k to a lawyer to defend themselves, even though it’s obvious to a kid, they shouldn’t have to.