Another wrinkle to the problem with that gatekeeping structure is that it is so prone to bias against women and people of color, who are much more likely to be undiagnosed and ignored or dismissed.
[0] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4638275/
[1] https://www.medicalnewstoday.com/articles/gender-bias-in-hea...
Edit: It originally appears to be getting heavily downvoted.
https://www.health.harvard.edu/blog/women-and-pain-dispariti...
> a 2000 study[0] published in The New England Journal of Medicine found that women are seven times more likely than men to be misdiagnosed and discharged in the middle of having a heart attack.
0: http://www.nejm.org/doi/full/10.1056/NEJM200008243430809
https://www.independent.co.uk/life-style/health-and-families...
> women with chronic pain conditions are more likely to be wrongly diagnosed with mental health conditions than men and prescribed psychotropic drugs, as doctors dismiss their symptoms as hysterics [1].
1: https://psycnet.apa.org/record/1990-98104-000
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4843483/
> racial bias in pain perception is associated with racial bias in pain treatment recommendations... Black Americans are systematically undertreated for pain relative to white Americans.
I agree that they do exists and am aware of the research showing it. I work in healthcare.
I didn’t make the grandparent comment that got downvoted but was interested to know why it was happening.