Thank you for your frankness. As a patient with lots of "doctor experience" I know that NPs and PAs do not have near the formal training or clinical experience that the medical doctor has. And I was seriously misdiagnosed by a PA. If they want to be a doctor, then do the work.
I have also learned that Specialists have subspecialties!
When they say you have to be your own advocate, they mean you should read your reports, check everything and make sure you are talking to the right professional.
We as a Society need to get smart and make medical school more affordable as we already have a shortage of doctors and it is forecast to only get worse