[datavirtue]

I think it has more to do with the doctor thinking about the absolute nightmare they are going to have to deal with interfacing with insurance companies trying to treat you. The dismissal is just their self preservation.

I have noticed that a lot of their job is playing insurance games to treat (get past preauthorizations) easily documented health issues, let alone things like ME/CFS or long COVID.

[chongli]

That’s a US-specific problem. Doctors dismiss patients’ complaints all the time in countries with universal healthcare.

I think the issue is much simpler than that: if the doctor is out of ideas (and doesn’t know of a specialist to refer to) they just get frustrated and give up.