I completely relate, as do most people in these very dark times for reliable, affordable, competent health care. Obviously, I'm not privy to your full medical story and even if I were, I don't have the credentials to offer professional opinions. Having said that, your lack of diagnosis from this "company" along with the questionable treatment is revolting.
What is the deal with urologists? The best one I can find has a reputatin for being surly, has no problem saying "I don't know" when asked what she thinks is causing my issues and changes her recommendations from time to time due, certainly due to pressure from the "company" to sell procedures. For example, initially she told me to just deal with the issues as she felt they weren't serious and urodynamics were just too ardurous. A year later, out of the blue, when I was there for a uti or something unrelated, she tried to sell me a urodynamics package involving some kind of implant. I almost laughed in her face. It hit me then that even physicians have been reduced to salespeople. As you said, "corporate priorities."
I wish you the best in San Fran am so very much hope you get the help you need and it is NOT self-catheterization!!