Doctors in centralized healthcare have gotten used to treating patients with a mix of dismissiveness and procedural risk management.
It's like a spoiled monopoly for those who are 100% in the state healthcare system.
I heard a story where a patient used AI to prep for the visit and made the doctor treat her seriously. As if he felt the pressure of competition of another doctor. "Doctor GuPTa", yes, but it worked.
A freer market emerged when a customer was backed by access to critical knowledge and gained agency and self-determination.
I thought that was a nice case for hard barriers can be breached with sufficient knowledge. It really changed the nature of her transaction.