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I think you get it by going to the same doctor over many years. Continuity of care is important!

That can be very difficult. Increasingly, physicians employ a staff of PAs and/or nurse practitioners who handle cases. Those staff seem to move around more frequently than physicians, so even if I keep going to the same office, the staff may have almost entirely changed.

This, coupled with the fact that, as an American, my ability to see a particular doctor (or even supporting staff) is highly dependent on whom I am employed with at any given time.

If you switch jobs regularly, you will likely end up on multiple insurance plans, each with their own set of participating medical professionals. Sometimes there is overlap, often there is not.

For those that can get insurance via their state or federal health care exchange you can pick your insurance based on doctors covered.

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