It must just be a lot more prevalent here in Southern California than it is elsewhere. There are now a number of organizations here with doctors who bill customers a yearly fee and offer unlimited GP care under that fee, which is surprisingly inexpensive. My former GP does this - he quit his regular practice after Obamacare forced him to spend, and I quote, “more than 50% of my time on paperwork.” Most of them do house calls. This phenomenon has been accelerated by the COVID lunacy.