I went many decades without a "primary care" doc. I seldom went to MDs. If I broke a bone, the occasional sinus infection. Exception being an annual visit with an ophthalmologist. By age 60 I was being constantly berated for not having a primary care physician "at my age" and finally my insurance carrier demanded it. The current doc and I have reached a balance - he regurgitates, I resist, we discuss (he is willing to discuss). He suggests drugs, I decline. I counter with the need for substantiating data. He orders a test, which so far turns up that I am a healthy old white male. It's become part of the harmony of life ;-)