Treatment oriented medicine is a problem in and of itself.
There is no treatment for medically diagnosed Celliac disease other than don't eat wheat for the rest of your life; its hard to profit off that in the medical biz, therefore, there being no treatment, mental gymnastics to disprove anything treatable are mandatory across several pediatricians and gastroenterologists and oncologists we talked to for a year or so WRT our son. Finally after ruling out child abuse and cancer, almost out of desperation, they did a quick blood antibody test leading to a stomach cilia biopsy and they're like "sorry its not good news like treatable cancer, its untreatable gluten allergy". Somehow the poor little guy must have given blood for a hundred tests before the antibody test came back with higher levels than the ENT had ever seen in a test result, and the biopsy confirmed it. Remove wheat from his diet and in about a week he was the healthiest kid ever.
The insane part is about one percent of the population is somewhere along the Celiac spectrum of symptoms; my kid somewhat along the extreme edge, most not so bad. But docs will do anything to avoid a simple blood test / biopsy diagnosis because there's no profitable treatment or pill to push.
Somehow, almost accidentally or unintentionally, western medicine in the USA can provide good outcomes, but the average citizen playing the game doesn't understand that its primarily a legal CYA game secondarily a treatment commissioned salesmen game, also a money making racket, and only a distant minor goal is actually helping people live better lives. If people are helped by the medical establishment its almost by accident as a side effect, helping people is definitely not the primary purpose of the establishment.