I am finding that the NP is the way to go for general stuff. I feel like they put more thought into things and get better results for me. Is a small set of experiences and some have been negative. All medicine is screwed, though. Your treatment is centrally planned via NIH standard of care definition used by Medicaid and Medicare. If doctors do not follow this, even for you, they open themselves up to problems for the hospital or physician Corp. It is difficult to find an independent doctor willing to practice medicine these days.