The reason it's going to providers is because US healthcare is extraordinarily inefficient. Providers spend too much time doing, well, everything. From admin, to medical records, to documentation. Very little of their time goes to actual, direct care and decisions around care. You can talk to a doctor about this if you want, they'll all tell you the same thing.

Even surgeons. Ask a surgeon how much time they spend in the OR. It's less than you think.