I'm seriousy accessing the last year or so and I think the automation is part of the problem. The practice of medicine is an art not a science so one-size cookie cutter screws everything up for provider and patient both but makes things efficient and profitable for the behemoth corps. 

Illness does not always fit a code. I would venture it rarely does and in actuality anyone getting health care that way is not really getting decent medicine to maximize quality of health and life. They are just getting lots of prescriptions and tests that don't really fit what's wrong with them.

Example: a couple of years ago if an insurer denied a brand name prescription, and said you must take generic first. The doctor or patient could call up a human at the insurer and argue the patient tried generic years ago with another doc and it makes them sicker but the new brand might help or even get pharmacist to intervene. There is no longer the human there for patient nor doctor nor pharmacist, just diagnostic codes and huge Kafka like CVS pharmacy system and huge Kafka like Optum RX corp. denying or approving on behalf of huge United Insurance corp according to protocols set for that diagnostic code.

It's very profitable to just have the patient suffer a long-lasting cookie cutter bunch of medicines and treatment protocol which are no longer being arranged by a stupid aggravating human nurse at some desk in Nebraska but rather now it has  been pre-arranged at a price that is sure to be profitable for both CVS and generic drug co. maker X.

This is the same with like a provider, like if you have undiagnosed nerve pain, the human neurologist to be profitable has 15 minutes with the patient, he better figure out what code to put in so the patient can get all the right drugs. The patient is not given a phone number to talk to the doctor nor an assistant nor anyone really, the patient is then on his own with the automated system of treatment for a a few months accessing stuff that is profitable for the big cos. but not helping him and is not cured but comes back in a few months for another appt. to rinse and repeat and everyone gets a profit while the patient is still ill. What in the old days could have been a quickly resolved acute problem with human attention becomes a chronic problem for the patient and a profit machine of people being kept ill and/or made ill for the big providers

It affects the whole system. One can see how even providers like physical therapists have become machines that prolong illness and increase number of short billable visits where the patient is told to practice the wrongly prescribed exercise at home and then after that doesn't work another and and another. Where they used to individualize treatment for each individual human as they observed with their own eyes.

Really truly has gotten more Kafka like in the last few years with big automation. And both human providers and patients are ready to crack. If the want to get well, patients have do a lot more of the labor now that used to be done by the doctors and their offices, the profit makers have shifted the labor to the party, the patient, who does not extract any payment, just gives free time suffering.

Check out what medical practitioning is most popular these days to go into and you'll see that it's dentistry because it is not covered by health insurance nor by automation of care.

There's all kinds of odd results. It''s very clear once a patient starts accessing that specialist doctors if that take insurance are rarely reachable by phone nor by email once you are their patient. Instead if lucky you talk to some idiot phone line person who is trained not to bother the doctor or any provider if at all possible. Often a one-size-fits all robot phone doctor or P.A.  If you have a question or bad reaction, he/she types it into the system and it gets ignored.  What the system really wants is for you to come in for another short appt which is billable and profitable. Meanwhile you suffer. Not to mention labor hrs. has been shifted to you who does not charge for your time. While with doctors that don't who have stopped taking insurance and go out-of-pocket fees, they are the ones who will give you their cell phone # and email, what they are selling: access and care through diagnosis and treatment. Partly because it's efficient and partly because they get to practice medicine like they were trained to and hoped to.

Edit to add: on the drug thing, I've had CVS pharmacist tell me about a denial (after I have waited 30 min. in line to talk to one, naturally-and a reminder, my time is not billed): we have to call the same phone number you do! Meaning: they have few humans to interact with when the system is not working, either. Basically it's: you get what the system says you get, whether it's helping you or not. An illusion of efficiency of care when actually it's like an assembly line to make money off of illness, a lot of of it iatrogenic, caused by the wrong treatments themselves. So much so that I will not be surprised to read someday that like, the "epidemic" of diabetes was being caused by everyone being on the wrong blood pressure medications. (Oh isn't this sorta like how the opoid epidemic happened? Really?)